Individual provider Active NPI

Sandra Nasrallah Whitlock, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Flat Rock, NC
National Provider Identifier
1902952153
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
2010-01162 Issued in NC
Practice address
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone
(828) 692-6178
Fax
(828) 692-9867
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 2010-01162 NC Primary

Addresses

Primary practice location

571 S Allen Rd
Flat Rock, NC 28731-9447

Mailing address

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Other identifiers 1

IdentifierTypeStateIssuer
5916765MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000689 NC Practitioner - Hospice/Palliative Care 2264530450 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231088MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Henderson County Inc CurrentSince Mar 1, 2021 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Hospice of Henderson County, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

571 S Allen Rd
Flat Rock, NC 28731
Phone (828) 692-9633

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1902952153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "SANDRA",
        "middle_name": "NASRALLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2010-01162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.