Active NPI
David C Whitehead, M.D.
- Gastroenterology Physician
- Jesup, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 050852
- Practice address
- 232 Memorial Drive
Jesup, GA 31545 - Phone
- (912) 559-2337
- NPI assigned
- Aug 3, 2005
- Last updated
- Sep 25, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592204752A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Tulane University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 104 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne SJC Medical Group, LLC | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Wayne SJC Medical Group, LLC | Current | Accepting new patients | |
| Cooperative Healthcare Services Inc | Gastroenterology | Current | Accepting new patients |
| Archbold Medical Group, Inc. | Current | 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
- dwhite1@secure.sghsmessaging.org
- 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.
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
- Otolaryngology Physician
- Jesup, GA
- NPI 1538421177
-
dba Southeast Georgia Physician Associates
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
Gastroenterology
-
dba Archbold Pulmonary Medicine & Critical Care Services
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1851730626
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1437141538
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba wayne memorial hospital
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
dba Archbold Memorial
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
dba John D. Archbold Memorial Hospital - Rehab
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.