Eddie L Whitehead, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032087 Issued in GA

Practice address

1350 Montreal Rd
Suite 290
Tucker, GA 30084-8146

Phone

(770) 593-2382

Fax

(770) 598-1858

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Meharry Medical College School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/80f02a57-2bb0-4823-b4e1-a80c1fe53bb1/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Medical Healthcare

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1356236798
  Medicare reassignment NPD Authorized official
• Georgia Internal Medicine Care Associates

  • Internal Medicine Physician
  • Lithonia, GA
  • NPI 1679631709
  NPD (past) Authorized official
• Complete Medical Healthcare, Corporation

  • Specialist
  • Decatur, GA
  • NPI 1972935781
  NPD (past)
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168

  Internal Medicine

  NPD (past)
• Stillwell Medical Group

  • Physician Assistant
  • Loganville, GA
  • NPI 1659414175
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1669516795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MONTREAL RD",
            "address_2": "SUITE 290",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848146",
            "telephone_number": "770-593-2382",
            "fax_number": "770-598-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MONTREAL RD",
            "address_2": "SUITE 290",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848146",
            "telephone_number": "770-593-2382",
            "fax_number": "770-598-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "EDDIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "032087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Lightning PC
• Adrienne D. White, LAPC, NCC
• Crystal White
• Lisa K White, D.C.
• Samara White
• Arlene Janet Wice, MED MA
• Tiara Wicks
• Susan Widmayer, PT
• Donna D. Wilds, SLP
• Lee Wilkes, MD

• Internal Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.