Individual provider Active NPI

Douglas Terry Whitney, PA-C

  • Medical Physician Assistant
  • Clinton, NC
National Provider Identifier
1811924384
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
100152 Issued in NC
Practice address
408 Fairview St
Clinton, NC 28328-2312
Phone
(910) 267-8933
Fax
(910) 267-8933
NPI assigned
Jun 28, 2006
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 100152 NC Primary
Medical Physician Assistant 363AM0700X 000651 NY

Addresses

Primary practice location

408 Fairview St
Clinton, NC 28328-2312

Mailing address

PO Box 187
Faison, NC 28341-0187
Phone (910) 267-2042

Other practice location 1

2414 Hope Mills Rd
Fayetteville, NC 28304-4264
Phone (910) 424-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110202000704 NC Practitioner - Physician Assistant 8123049285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 W Southern Ave
Raeford, NC 28376-3218
Phone (910) 565-5110

3613 Cape Ctr Dr
Fayetteville, NC 28304-4457
Phone (910) 354-1720

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000651NYMDAudiologist
100152NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jun 1, 2024 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jun 1, 2024 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients
Owen Drive Surgical Clinic, PA Past Accepting new patients
Orthopaedic Associates of Rochester, PC PastSince Sep 17, 2012 Accepting new patients

Locations

408 Fairview St
Clinton, NC 28328
Phone (910) 596-2400

408 Fairview St
Ste A
Clinton, NC 28328

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

Interoperability endpoints

  • Direct secure messaging: dwhitney@goshenmedical.cloudcraftdirect.com

Organizations & group practices 7

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1811924384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187",
            "telephone_number": "910-267-2042",
            "fax_number": "855-996-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282312",
            "telephone_number": "910-267-8933",
            "fax_number": "910-267-8933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Hope Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044264",
            "country_code": "US",
            "telephone_number": "910-424-2426",
            "fax_number": "910-424-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "DOUGLAS",
        "middle_name": "TERRY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100152",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.