SUSAN J WHITEHURST MD
NPI 1053304782
Specialist in Martin, TN

Q: What is Susan Whitehurst's NPI number?

The NPI number for Susan Whitehurst is 1053304782. It was assigned to this individual provider in the NPPES registry on August 29, 2005. The provider is also known as Janice Susan Johnson-Whitehurst MD.

Q: What is Susan Whitehurst's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Whitehurst was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2005

130 THORNOAK DR, MARTIN, TN 38237(731) 587-6743(731) 587-6743 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Susan J Whitehurst Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J WHITEHURST MD (NPI 1053304782) is an individual specialist in Martin, Tennessee, licensed in Tennessee (7529) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1053304782

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSUSAN J WHITEHURSTCredential: MD

Location Address130 THORNOAK DRMartin, TN 38237-1415

Mailing Address130 Thornoak DrMartin, TN 38237-1415 · (731) 225-4017 · Fax (731) 227-6050

Phone(731) 587-6743

Fax(731) 587-6743

Sole ProprietorYes

Enumeration DateAugust 29, 2005

Last NPPES UpdateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1053304782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · 7529

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

130 THORNOAK DR, Martin, TN 38237

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Other Names 1

Professional Name (2)Janice Susan Johnson-whitehurst Md

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Whitehurst's NPI number?

The NPI number for Susan Whitehurst is 1053304782. It was assigned to this individual provider in the NPPES registry on August 29, 2005. The provider is also known as Janice Susan Johnson-Whitehurst MD.

Where is Susan Whitehurst located?

Susan Whitehurst practices at 130 Thornoak Dr, Martin, TN 38237. The listed phone number is (731) 587-6743.

What is Susan Whitehurst's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susan Whitehurst was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.