Individual provider Active NPI

Kerry N. Whitt, M.D.

  • Gastroenterology Physician
  • Raleigh, NC
National Provider Identifier
1932376506
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
228947 Issued in NC
Practice address
2601 Lake Dr
Suite 201
Raleigh, NC 27607-6688
Phone
(919) 783-4888
Fax
(919) 783-4887
NPI assigned
May 13, 2008
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 228947 NC Primary

Addresses

Primary practice location

2601 Lake Dr
Suite 201
Raleigh, NC 27607-6688

Mailing address

PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 783-4888

Other identifiers 1

IdentifierTypeStateIssuer
5910178MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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
I20080926000270 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 4688579683
I20230727004088 VA Practitioner - Gastroenterology 4688579683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Virginia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

110 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-9405

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy122
Upper gastrointestinal (GI) endoscopy for acid reflux126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228947NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jul 31, 2023 Accepting new patients
Raleigh Medical Group, PA Gastroenterology CurrentSince Dec 1, 2011 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 31, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 31, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jul 31, 2023 Accepting new patients
Carilion Medical Center Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

110 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-9405

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

3 Riverside Cir
Roanoke, VA 24016

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: kerrywhitt@rcmg.allscriptsdirect.net
  • Direct secure messaging: kwhitt164711@direct.carilionclinic.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1932376506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18563",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198563",
            "telephone_number": "919-783-4888",
            "fax_number": "919-783-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LAKE DR",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076688",
            "telephone_number": "919-783-4888",
            "fax_number": "919-783-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "KERRY",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "228947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910178",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.