Active NPI
Whitney L Berry, CSFA
- Surgical Assistant
- Jackson, GA
National Provider Identifier
1922433200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 144655
- Practice address
- 162 Buck Creek Rd
Jackson, GA 30233-6522 - Phone
- (210) 793-0904
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 144655 | GA | Primary |
| Surgical Physician Assistant | 363AS0400X | 14-4655 | TX |
Addresses
Primary practice location
162 Buck Creek Rd
Jackson, GA 30233-6522
Mailing address
162 Buck Creek Rd
Jackson, GA 30233-6522
Phone (210) 793-0904
Other practice location 1
12103 Dawes Pt
San Antonio, TX 78254-6213
Phone (210) 793-0904
Other practice location 2
8000 Ih 10 West
Suite #600
San Antonio, TX 79230
Phone (210) 793-0904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144655 | GA | MD | Surgical Assistant |
| 14-4655 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1922433200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BUCK CREEK RD",
"city": "JACKSON",
"state": "GA",
"postal_code": "302336522",
"telephone_number": "210-793-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BUCK CREEK RD",
"city": "JACKSON",
"state": "GA",
"postal_code": "302336522",
"telephone_number": "210-793-0904"
}
],
"practiceLocations": [
{
"address_1": "12103 Dawes Pt",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782546213",
"country_code": "US",
"telephone_number": "210-793-0904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 IH 10 WEST",
"address_2": "SUITE #600",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "79230",
"country_code": "US",
"telephone_number": "210-793-0904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "WHITNEY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "144655",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "14-4655",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.