Jeremy Douglas Whitt, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-6475 Issued in AR

Practice address

300 S Rhodes St
West Memphis, AR 72301-4215

Phone

(870) 735-3664

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

General Surgery

Education

University of Arkansas College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forrest City Clinic Company LLCGroup PAC ID 1557457447, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest City Medical Center Hospital, Forrest City, AR, CCN 040019
• Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Helena Regional Medical Center Hospital, Helena, AR, CCN 040781

Merit-based Incentive Payment System (MIPS)

Final score

92.29 of 100Reported as individual

Quality

74.18

Promoting interoperability

100

Improvement activities

40

Cost

85.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwhitt04@yourcarecommunity.org
• Direct secure messaging: jeremy.whitt.1@1607.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4

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.

• Forrest City Clinic Company LLC

  • Internal Medicine Physician
  • Forrest City, AR
  • NPI 1821293051
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Crittenden Inc

  • General Acute Care Hospital
  • West Memphis, AR
  • NPI 1437634524
  Care Compare affiliation
• Forrest City Arkansas Hospital Company LLC

  • General Acute Care Hospital
  • Forrest City, AR
  • NPI 1811912009
  Care Compare affiliation
• Phillips Hospital Company LLC

  • Rural Acute Care Hospital
  • Helena, AR
  • NPI 1154392090
  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1982861985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-735-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-735-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "JEREMY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-6475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shinequa White
• Tony White, LCSW
• Carol Harden Whitehorn, DO
• Mark Aaron Whitlock
• Ella Hayes Whitlow, OTR/L
• Cherye Heather Whittemore, ED.S, MHPP
• Tonya Wicker
• William F. Slaughter
• Deborah Mae Williams, DDS
• Denise Williams

• Surgery Physician in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.

Verify at the official NPI Registry.