Individual provider Active NPI

David C Whitehead, M.D.

  • Gastroenterology Physician
  • Jesup, GA
National Provider Identifier
1962403766
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
050852 Issued in GA
Practice address
232 Memorial Drive
Jesup, GA 31545
Phone
(912) 559-2337
NPI assigned
Aug 3, 2005
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 050852 GA Primary

Addresses

Primary practice location

232 Memorial Drive
Jesup, GA 31545

Mailing address

PO Box 71291
Philadelphia, PA 19176-1291

Other identifiers 1

IdentifierTypeStateIssuer
592204752AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050822000427 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 7517948573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians
Wayne SJC Medical Group LLCGroup PAC ID 5496901811, 10 clinicians

Practice addresses (Care Compare)

112 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 227-0045

125 Memorial Dr
Suite a
Jesup, GA 31545-0124
Phone (912) 427-7790

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy104
Upper gastrointestinal (GI) endoscopy for acid reflux104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne SJC Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients
Archbold Medical Group, Inc. CurrentSince May 15, 2024 Accepting new patients
Wayne SJC Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients
Cooperative Healthcare Services Inc Gastroenterology CurrentSince Sep 4, 2013 Accepting new patients
Archbold Medical Group, Inc. CurrentSince May 15, 2024 Accepting new patients
Francis J. Fenaughty MD, P.C. Past Accepting new patients

Locations

2500 Starling St
Ste 506
Brunswick, GA 31520
Phone (912) 264-9670

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3217 4th St
Brunswick, GA 31520
Phone (912) 264-9650

111 Colonial Way
Ste 3
Jesup, GA 31545
Phone (912) 427-8365

930 S 1st St
Jesup, GA 31545
Phone (912) 385-2702

320 Peachtree St
Jesup, GA 31545
Phone (912) 427-8177

125 Memorial Dr
Ste A
Jesup, GA 31545
Phone (912) 559-2337

112 Mimosa Dr
Thomasville, GA 31792
Phone (229) 227-0045

947 S Broad St
Thomasville, GA 31792
Phone (229) 228-3731

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

Interoperability endpoints

  • Direct secure messaging: dwhite1@secure.sghsmessaging.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDDICA

Organizations & group practices 6

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 3

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1962403766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71291",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191761291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MEMORIAL DRIVE",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-559-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "050852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592204752A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.