Thurman B Whitted Jr., MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

9601525 Issued in NC

Practice address

604 Medical Dr
Ecu Physicians Physical Medicine & Rehabilitation
Greenville, NC 27834-7503

Phone

(252) 847-6600

Fax

(252) 847-2204

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rehabilitation Medicine & Pain Center PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mooresville, NC
  • NPI 1598743981
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1770566465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069",
            "telephone_number": "252-744-3253",
            "fax_number": "252-744-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MEDICAL DR",
            "address_2": "ECU PHYSICIANS PHYSICAL MEDICINE & REHABILITATION",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347503",
            "telephone_number": "252-847-6600",
            "fax_number": "252-847-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "THURMAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "9601525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "10910",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00030684",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910910",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Lyons Whitley, CPNP-AC
• Sarah Whitley, FNP
• Wyatt Stewart Whitley, CRNA
• Audy Grey Whitman, M.D.
• Anthony Douglas Whitted, M.D.
• Tamara Whitten, MS, LMFT, CFLE
• Thomas Parker Whitten, PA-C
• Simone Whitworth, LMBT
• Whole Wellness Homecare LLC.
• Wholeness Wellness Homes LLC

• Physical Medicine & Rehabilitation Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.