Individual provider Active NPI

Amber Rocheele Whitfield, FNP-C

  • Family Nurse Practitioner
  • Wrens, GA
National Provider Identifier
1740021047
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FO6241302 Issued in GA
Practice address
623 N Main St
Wrens, GA 30833-1178
Phone
(706) 547-7551
NPI assigned
Jun 3, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X FO6241302 GA Primary
Family Medicine Physician 207Q00000X F06241302 GA

Addresses

Primary practice location

623 N Main St
Wrens, GA 30833-1178

Mailing address

4810 Old Mitchell Rd
Mitchell, GA 30820-3400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723004518 GA Practitioner - Nurse Practitioner 0143766386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06241302GAMDFamily Medicine Physician
FO6241302GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Jul 8, 2024 Accepting new patients
Community Health Care Systems, Inc. CurrentSince Jul 8, 2024 Accepting new patients

Locations

623 N Main St
Wrens, GA 30833
Phone (478) 864-2600

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1740021047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 OLD MITCHELL RD",
            "city": "MITCHELL",
            "state": "GA",
            "postal_code": "308203400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N MAIN ST",
            "city": "WRENS",
            "state": "GA",
            "postal_code": "308331178",
            "telephone_number": "706-547-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "AMBER",
        "middle_name": "ROCHEELE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "FO6241302",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "F06241302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrens, GA

Sources for this page

Verify at the official NPI Registry.