Individual provider Active NPI

Patricia Whatley, LMSW

  • Clinical Social Worker
  • Jefferson, GA
National Provider Identifier
1831836410
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009269 Issued in GA
Practice address
2748 Winder Hwy
Jefferson, GA 30549-5466
Phone
(706) 367-4455
NPI assigned
May 16, 2022
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW009269 GA Primary

Addresses

Primary practice location

2748 Winder Hwy
Jefferson, GA 30549-5466

Mailing address

PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118000451 GA Practitioner - Clinical Social Worker 3577097203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

2000 Prince Ave
Athens, GA 30606-6022
Phone (706) 521-3113

247 Union Point St
Lexington, GA 30648-2303
Phone (706) 743-8171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009269GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince Aug 29, 2024 Accepting new patients
Medlink Georgia, Inc CurrentSince Aug 29, 2024 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

2000 Prince Ave
Athens, GA 30606
Phone (706) 353-8220

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

2748 Winder Hwy
Jefferson, GA 30549
Phone (706) 367-1894

247 Union Point St
Lexington, GA 30648
Phone (706) 743-8171

Interoperability endpoints

  • Direct secure messaging: patricia.whatley.1@9864.direct.athenahealth.com
  • Direct secure messaging: patricia.whatley@mgi.eclinicaldirectplus.com

Organizations & group practices 3

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1831836410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 WINDER HWY",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495466",
            "telephone_number": "706-367-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

Verify at the official NPI Registry.