Active NPI
Brooks A Whitney, MD
- Vascular Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036903
- Practice address
- 5671 Peachtree Dunwoody Rd Ste 620
Atlanta, GA 30342-5006 - Phone
- (678) 369-5454
- Fax
- (678) 369-5455
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036903 | GA | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd Ste 620
Atlanta, GA 30342-5006
Mailing address
Manged Care Department Northside Hospital
1000 Johnson Ferry Rd NE
Atlanta, GA 30342
Phone (404) 300-2476
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003118708B | Medicaid | GA | |
| 003118708A | Medicaid | GA | |
| 003118708F | Medicaid | GA | |
| 003118708E | Medicaid | GA | |
| 003118708J | Medicaid | GA | |
| 003118708C | Medicaid | GA | |
| 003118708H | Medicaid | GA | |
| 003118708G | Medicaid | GA | |
| 003118708I | Medicaid | GA | |
| 00543628A | Medicaid | GA | |
| 770000209 | Other | GA | RR MCE |
| 003118708D | Medicaid | GA |
Other names 1
- Brooks Alan Whitney
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Brooks.whitney@nvs.eclinicaldirectplus.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Tulane University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Northside Blvd
Suite 2400
Cumming, GA 30041-7662
Phone (770) 292-9016
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.15 of 100
- Quality
- 73.05
- Promoting interoperability
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036903 | GA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Saint Josephs Hospital of Atlanta Inc | Past | Accepting new patients | |
| Georgia Vascular Clinic at Saint Joseph'S, LLC | Vascular Surgery | Past | Accepting new patients |
| St. Joseph'S Hospital | Past | Accepting new patients |
Locations
460 Northside Cherokee Blvd
Ste 100
Canton, GA 30115
Phone (770) 292-3490
1100 Northside Forsyth Dr
Ste 360
Cumming, GA 30041
Phone (678) 341-4812
1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490
5671 Ptree Dunwoody
Sandy Springs, GA 30342
Phone (404) 255-1030
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
980 Johnson Fy Rd NE
Ste 1040
Sandy Springs, GA 30342
Phone (404) 843-2721
5671 Peachtree Dunwoody Rd
Ste 620
Sandy Springs, GA 30342
Phone (404) 843-9958
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHHCAD/Endpoint/FHHCAD
- brooks.whitney@nvs.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1023397213
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
-
- Critical Access Hospital
- Atlanta, GA
- NPI 1316158793
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1821039991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MANGED CARE DEPARTMENT NORTHSIDE HOSPITAL",
"address_2": "1000 JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-300-2476",
"fax_number": "404-250-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD STE 620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425006",
"telephone_number": "678-369-5454",
"fax_number": "678-369-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "BROOKS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "036903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00543628A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCE",
"identifier": "770000209",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003118708D",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Brooks.whitney@nvs.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "5671 Peachtree Dunwoody Rd Ste 620",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303425006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BROOKS",
"last_name": "WHITNEY",
"middle_name": "ALAN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.