Individual provider Active NPI

John Gregory Whaley, MD

  • Diagnostic Radiology Physician
  • Camp Lejeune, NC
National Provider Identifier
1851593545
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M6951 Issued in TX
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

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190424000760 FL Practitioner - Diagnostic Radiology 0143312793
I20200324001814 NC Practitioner - Diagnostic Radiology 0143312793 Reassigns benefits to 2 organizations

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
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

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

LicenseStateTypeSpecialty
M6951TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiology Associates, PLLC Specialist CurrentSince Aug 1, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.