Individual provider Active NPI

Xena Antoinette Whittier, M.D.

  • Rheumatology Physician
  • Marietta, GA
National Provider Identifier
1710114517
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
074620 Issued in GA
Practice address
700 Church St NE
Marietta, GA 30060-7220
Phone
(770) 420-1690
Fax
(770) 420-1661
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

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
Rheumatology Physician 207RR0500X 074620 GA Primary

Addresses

Primary practice location

700 Church St NE
Marietta, GA 30060-7220

Mailing address

700 Church St NE
Marietta, GA 30060-7220
Phone (770) 420-1690

Other practice location 1

355 Tower Rd NE Ste 103
Marietta, GA 30060-9410
Phone (770) 420-1690

Other identifiers 2

IdentifierTypeStateIssuer
00986895MedicaidMS
1958221MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xwhittier110907@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
I20150922000796 GA Practitioner - Rheumatology 2466617030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2009
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)

700 Church Nest
Marietta, GA 30060-7220
Phone (770) 420-1600

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • 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
074620GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Rheumatology CurrentSince Aug 10, 2015 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 10, 2015 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

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

400 Tower Rd NE
Ste 160
Marietta, GA 30060
Phone (770) 420-1690

355 Tower Rd NE
Ste 103
Marietta, GA 30060
Phone (770) 420-1690

3747 Roswell Rd
Ste 205
Marietta, GA 30062
Phone (470) 956-9050

700 Church St NE
Marietta, GA 30060
Phone (770) 420-1600

Interoperability endpoints

  • Direct secure messaging: xwhittier110907@directwellstar.org

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1710114517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607220",
            "telephone_number": "770-420-1690",
            "fax_number": "770-420-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607220",
            "telephone_number": "770-420-1690",
            "fax_number": "770-420-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Tower Rd NE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609410",
            "country_code": "US",
            "telephone_number": "770-420-1690",
            "fax_number": "770-420-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTIER",
        "first_name": "XENA",
        "middle_name": "ANTOINETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "074620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00986895",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1958221",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xwhittier110907@directwellstar.org",
            "affiliation": "N",
            "address_1": "355 Tower Rd NE Ste 103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300609410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.