Active NPI
James Allen Whitaker, M.D.
- Cardiovascular Disease Physician
- Wilson, NC
National Provider Identifier
1861443913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 16043
- Practice address
- 2605 Forest Hills Rd SW
Wilson, NC 27893-4448 - Phone
- (252) 243-7161
- Fax
- (252) 243-7242
- NPI assigned
- May 13, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 16043 | NC | Primary |
Addresses
Primary practice location
2605 Forest Hills Rd SW
Wilson, NC 27893-4448
Mailing address
PO Box 3209
Wilson, NC 27895-3209
Phone (252) 243-7161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986921 | Medicaid | NC | |
| 86921 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Cardiology Associates, PA | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1861443913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3209",
"city": "WILSON",
"state": "NC",
"postal_code": "278953209",
"telephone_number": "252-243-7161",
"fax_number": "252-243-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 FOREST HILLS RD SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278934448",
"telephone_number": "252-243-7161",
"fax_number": "252-243-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "JAMES",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "16043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986921",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86921",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.