Individual provider Active NPI

Osei Tutu Boakye Whyte, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1669727624
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74930 Issued in GA
Practice address
2084 Headland Dr
Atlanta, GA 30344-2135
Phone
(404) 965-5691
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74930 GA Primary

Addresses

Primary practice location

2084 Headland Dr
Atlanta, GA 30344-2135

Mailing address

2084 Headland Dr
Atlanta, GA 30344-2135
Phone (404) 965-5691

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-5240

Other practice location 2

3825 Medical Park Dr Ste 201
Austell, GA 30106-6831
Phone (770) 941-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address owhyte343582@directwellstar.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160728000727 GA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5193018166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1605 Mulkey Rd
Suite B
Austell, GA 30106-6820
Phone (470) 956-3760

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Wellstar Home Health, LLC Home health agency, Marietta, GA, CCN 117102
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74930GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
PMR Georgia Holding, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

1605 Mulkey Rd
Ste 220
Austell, GA 30106
Phone (470) 956-3760

3825 Medical Park Dr
Ste 201
Austell, GA 30106
Phone (770) 941-8100

6043 Prestley Mill Rd
Ste B
Douglasville, GA 30134
Phone (770) 941-8100

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1669727624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 HEADLAND DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-965-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102342",
            "country_code": "US",
            "telephone_number": "315-464-5240",
            "fax_number": "315-464-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 Medical Park Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301066831",
            "country_code": "US",
            "telephone_number": "770-941-8100",
            "fax_number": "770-945-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "OSEI",
        "middle_name": "TUTU BOAKYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "74930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "owhyte343582@directwellstar.org",
            "affiliation": "N",
            "address_1": "3825 Medical Park Dr Ste 201",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301066831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.