Active NPI
John Gregory Whaley, MD
- Diagnostic Radiology Physician
- Camp Lejeune, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M6951
- Practice address
- 100 Brewster Blvd.
100 Brewster Blvd.
Camp Lejeune, NC 28547-2538 - Phone
- (910) 450-3503
- NPI assigned
- Jun 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M6951 | TX | |
| General Practice Physician | 208D00000X | M6951 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | M6951 | TX | Primary |
Addresses
Primary practice location
100 Brewster Blvd.
100 Brewster Blvd.
Camp Lejeune, NC 28547-2538
Mailing address
100 Brewster Blvd.
100 Brewster Blvd.
Camp Lejeune, NC 28547-2538
Phone (910) 450-3503
Other practice location 1
653 Par Dr
Jacksonville, NC 28540-9366
Phone (254) 228-7640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Texas a & M University System, HSC, College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
653 Par Dr
Jacksonville, NC 28540-9366
Phone (855) 504-4544
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6951 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Radiology Associates, PLLC | Specialist | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Bellville Hospital District | Emergency Medicine | Past | Accepting new patients |
Locations
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
720 Newman Rd
New Bern, NC 28562
Phone (252) 638-3885
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1821035999
-
- Diagnostic Radiology Physician
- New Bern, NC
- NPI 1144270307
Specialist
-
- General Acute Care Hospital
- Bellville, TX
- NPI 1457358103
Emergency Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- General Acute Care Hospital
- New Bern, NC
- NPI 1801852835
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1851593545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD.",
"address_2": "100 BREWSTER BLVD.",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD.",
"address_2": "100 BREWSTER BLVD.",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-3503"
}
],
"practiceLocations": [
{
"address_1": "653 Par Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285409366",
"country_code": "US",
"telephone_number": "254-228-7640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEY",
"first_name": "JOHN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "M6951",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "M6951",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M6951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.