Active NPI
Carol Cate Whitley, FNP-C
- Family Nurse Practitioner
- Moultrie, GA
National Provider Identifier
1881140333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN188151
- Practice address
- 3131 S Main St
Moultrie, GA 31768-6925 - Phone
- (229) 985-3420
- Fax
- (229) 616-7074
- NPI assigned
- Aug 25, 2016
- Last updated
- Dec 3, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN188151 | GA | Primary |
Addresses
Primary practice location
3131 S Main St
Moultrie, GA 31768-6925
Mailing address
467 Shade Murphy Rd
Moultrie, GA 31768-0513
Phone (229) 456-2036
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188151 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1881140333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 SHADE MURPHY RD",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317680513",
"telephone_number": "229-456-2036",
"fax_number": "229-616-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686925",
"telephone_number": "229-985-3420",
"fax_number": "229-616-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "CAROL",
"middle_name": "CATE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN188151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.