MR. ROBERT G WHITENER (NPI# 1629174123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629174123 |
| Entity Type | Individual |
| Full Name | MR. ROBERT G WHITENER |
| Credential | PA |
| Practice Address |
2878 Five Forks Trickum Rd Suite 2a Lawrenceville GA 30044-5896 |
| Mailing Address |
204 Chelsea Ct Woodstock GA 30189-8173 |
| Practice Telephone | 6783448700 |
| Practice Fax Number | 6783448600 |
| Mailing Telephone | 6783448700 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002074 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 002074 | 01 |
| Street Address |
2878 FIVE FORKS TRICKUM RD SUITE 2A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918721 | Pushpa Lalaji | Obstetrics & Gynecology | 2878 Five Forks Trickum Rd, 2a, Lawrenceville, GA 30044-5896 | 2005-08-03 |
| 1912228941 | Charlotte Amelia Ebner | Family Medicine | 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 | 2010-06-14 |
| 1700058088 | Georgia Sleep Centers | Clinic/Center | 2878 Five Forks Trickum Rd, Suite 3a, Lawrenceville, GA 30044-5896 | 2008-03-27 |
| 1457523722 | Georgia Diagnostic Centers | Clinic/Center | 2878 Five Forks Trickum Rd, Suite 1a, Lawrenceville, GA 30044-5896 | 2008-03-27 |
| 1396895033 | Bradford M Gould | Family Medicine | 2878 Five Forks Trickum Rd, 2a, Lawrenceville, GA 30044-5896 | 2007-01-12 |
| 1750478525 | Richard Mcdonald Harris | Physician Assistant | 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 | 2006-10-05 |
| 1952316747 | Reagan Medical Center | Neurological Surgery | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2006-07-30 |
| 1518972496 | Kyle T Yandle | Physician Assistant | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2006-07-29 |
| 1083603922 | Satish B Poddar | Family Medicine | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2005-10-13 |
| 1407845340 | Archna Poddar | Internal Medicine | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2005-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1528579950 | Julia Vlada Shumkov | Physician Assistant | 3100 Princeton Pike Ste D, Lawrenceville, NJ 08648-2300 | 2017-10-12 |
| 1851631337 | Dave George | Physician Assistant | 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 | 2013-02-21 |
| 1528375946 | Gillian Robinson | Physician Assistant | 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 | 2010-09-07 |
| 1376705996 | Jacqueline Anne Ritter | Physician Assistant | 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 | 2008-06-25 |
| 1457439747 | Michelle R Shoultz | Physician Assistant | 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 | 2006-11-02 |
| 1326132408 | Michael Johnson | Physician Assistant | 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 | 2006-10-03 |
| 1689626657 | Nocollege A Pupuma | Physician Assistant | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-05-17 |
| 1073576716 | Jennifer T. Herbstritt | Physician Assistant | 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 | 2006-04-11 |
| 1285260745 | Elizabeth Joy Elder Sandy | Physician Assistant | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2020-03-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on MR. ROBERT G WHITENER.
| 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.