Elizabeth G Whitaker, M.D.

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

041239 Issued in GA

Practice address

3200 Cobb Galleria Pkwy Ste 205
Atlanta, GA 30339-5919

Phone

(770) 850-0202

Fax

(770) 850-0022

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• Northwest ENT Associates, PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Marietta, GA
  • NPI 1821176967
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1811999402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COBB GALLERIA PKWY STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395919",
            "telephone_number": "770-850-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COBB GALLERIA PKWY STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395919",
            "telephone_number": "770-850-0202",
            "fax_number": "770-850-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "041239",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "GA",
            "license": "041239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00868524B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Whigham, OTR
• Kristine Borden Whigham, PSYD
• Hadley Caroline Whipple
• Anumeha Kumar Whisenhunt, DO
• William Earl Whissell, MD
• Mallory Whitaker, LCSW
• Pamela C Whitaker, N.P.
• Terry Ann Whitaker
• Hannah Whitcomb, CNM
• Tiffany White-Epps

• Plastic Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.