DR. JOHN CALVIN WHITLEY III (NPI# 1184607483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184607483 |
| Entity Type | Individual |
| Full Name | DR. JOHN CALVIN WHITLEY III |
| Credential | PH.D. |
| Practice Address |
2828 Hillcreek Dr Augusta GA 30909-5628 |
| Practice Telephone | 7062285006 |
| Practice Fax Number | 7062281848 |
| Mailing Telephone | 7062285006 |
| Mailing Fax Number | 7062281848 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
625 | SC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1922 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAID | PSO207 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992079081 | John Coates Whitley | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2012-03-07 |
| 1790019495 | John Franklin Whitley Jr. | Speech-Language Pathologist | 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 | 2009-09-28 |
| 1316176324 | John Calvin Whitley Jr. | Psychiatry & Neurology | 1315 W Martintown Rd, North Augusta, SC 29860-7631 | 2009-07-11 |
| 1427188168 | John B Whitley Jr. | Dentist | 541 Shadows Ln, Suite A, Baton Rouge, LA 70806-6531 | 2007-03-06 |
| 1831165497 | John M Whitley | Dentist | 4441 Service Drive, Hqs, Usa Dentac, Ft Hood, TX 76544-5054 | 2006-02-24 |
| 1679570592 | John Matthew Whitley | Neurological Surgery | 10330 Hardin Valley Rd, Suite 100, Knoxville, TN 37932-3742 | 2005-07-07 |
| Street Address |
2828 HILLCREEK DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1932635885 | Samantha L. Whatson | Psychologist | 3633 Wheeler Rd Ste 110, Augusta, GA 30909-6544 | 2017-05-11 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| 1710315171 | Holly Tabernik | Psychologist | 3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815 | 2013-10-23 |
| 1225383078 | Sarah Bruce Stevens | Psychologist | 44 Thornberry Drive, Augusta, GA 30909-1922 | 2012-07-18 |
| 1326277831 | Katharine Elliott Mocciola | Psychologist | 1 Va Ctr # 116b, Augusta, ME 04330-6719 | 2009-07-06 |
| 1467635441 | Dana P. Reaume | Psychologist | 74 Bristlecone Ln, Augusta, GA 30909-1847 | 2007-12-12 |
| 1548460124 | Sarah Faith Shelton | Psychologist | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2007-07-20 |
| 1679623086 | M. Kevin Turner | Psychologist | 103 Rossmore Pl, Augusta, GA 30909-5769 | 2007-01-11 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on DR. JOHN CALVIN WHITLEY III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.