Active NPI
Audy Grey Whitman, M.D.
- Family Medicine Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2016-02232
- Practice address
- 101 Heart Dr
Greenville, NC 27834-8982 - Phone
- (252) 744-4611
- Fax
- (252) 744-3201
- NPI assigned
- Apr 28, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2016-02232 | NC | Primary |
Addresses
Primary practice location
101 Heart Dr
Greenville, NC 27834-8982
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19QP8 | Other | NC | BCBS OF NC |
| 1962812156 | Medicaid | NC | |
| NCY302A | Other | NC | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awhitman67501@direct.ecuhealth.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Proactive Therapy of North Carolina Inc
Practice addresses (Care Compare)
101 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-3109
120 Health Ctr Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548
2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818
Hospital & facility affiliations
- Community Home Care & Hospice
- Gentiva
- Community Hospice LLC
- Ecu Health Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 41 |
| Removal of skin lesions | 21 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| East Carolina University | Internal Medicine | Current | Accepting new patients |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| East Carolina University | Family Medicine | Current | Accepting new patients |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Rural Health Group, Inc. | Past | Accepting new patients | |
| East Carolina University | Past | Accepting new patients |
Locations
113 Hertford County High Rd
#B
Ahoskie, NC 27910
Phone (252) 209-3375
120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237
119 Crossover Rd
Beulaville, NC 28518
Phone (910) 298-3125
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
101 Heart Dr
Greenville, NC 27834
Phone (252) 744-4611
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
102 Main St
Ste 12
Kenansville, NC 28349
Phone (910) 275-0195
305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323
270 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-6816
Interoperability endpoints
- awhitman@goshenmedical.cloudcraftdirect.com
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Federally Qualified Health Center (FQHC)
- Colerain, NC
- NPI 1790851004
-
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1598253734
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
- Federally Qualified Health Center (FQHC)
- Beulaville, NC
- NPI 1639294309
-
- Federally Qualified Health Center (FQHC)
- Woodland, NC
- NPI 1023675113
-
- Federally Qualified Health Center (FQHC)
- Ahoskie, NC
- NPI 1407881691
-
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1669500997
-
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1528016938
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fayetteville, NC
- NPI 1528015369
-
- Community Based Hospice Care Agency
- Wilson, NC
- NPI 1134176993
-
- Community Based Hospice Care Agency
- New Bern, NC
- NPI 1891736336
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1962812156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HEART DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348982",
"telephone_number": "252-744-4611",
"fax_number": "252-744-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "AUDY",
"middle_name": "GREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2016-02232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19QP8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962812156",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NCY302A",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awhitman67501@direct.ecuhealth.com",
"affiliation": "N",
"endpointDescription": "ECU Physicians",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "101 Heart Dr",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278348982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.