Carrie Leigh Whitehead, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN 169401 Issued in GA

Practice address

6228 Bradley Park Dr. Suite a
Columbus, GA 31904

Phone

(706) 617-4031

NPI assigned

Oct 31, 2016

Sex

Female

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, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Renal Associates of Lagrange LLCGroup PAC ID 3678712312, 12 clinicians

Renal Associates of Alabama, LLCGroup PAC ID 7113271982, 13 clinicians

Renal Associates, LLCGroup PAC ID 7911891403, 12 clinicians

Renal Associates of Roanoke LLCGroup PAC ID 2961944129, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
• Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie.whitehead@direct.davitaphysiciansolutions.com

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.

• Renal Associates of Lagrange LLC

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1679813406
  Medicare reassignment Care Compare group NPD
• Renal Associates, LLC

  • Nephrology Physician
  • Columbus, GA
  • NPI 1205944311

  AL

  Medicare reassignment Care Compare group NPD
• Renal Associates of Alabama, LLC

  • Nephrology Physician
  • Montgomery, AL
  • NPI 1447742168
  Medicare reassignment Care Compare group NPD
• Renal Associates of Roanoke, LLC

  • Nephrology Physician
  • Roanoke, AL
  • NPI 1447017314
  Medicare reassignment Care Compare group NPD
• Renal Associates of Albany, LLC

  • Nephrology Physician
  • Albany, GA
  • NPI 1215419411
  Medicare reassignment

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

• West Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1750833232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR",
            "address_2": "STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043605",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR. SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-617-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "CARRIE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN 169401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taleshia White
• Tiffany White
• Whitney White
• William Jay White, MD
• Laney Whiteaker
• John Wayne Whitehead, RPH
• Rebekah G Whitehead
• Rudean Whitehead
• Shawn Whitehorn Sr., MS, LPC, NCC
• Cindy A Whitehurst, RBT

• Adult Health Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.