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KELLIE WHITENER
NPI 1093301855
Nurse Practitioner - Family in Statesboro, GA

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment
23702 HWY 80 E, STATESBORO, GA 30461(912) 489-4090(912) 764-5028 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Whitener NPPES

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

KELLIE WHITENER (NPI 1093301855) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN213296) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093301855
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE WHITENER
Location Address23702 HWY 80 EStatesboro, GA 30461-0845
Mailing Address23702 Hwy 80 EStatesboro, GA 30461-0845 · (912) 489-4090 · Fax (912) 764-8378
Phone(912) 489-4090
Fax(912) 764-5028
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1093301855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN213296
23702 HWY 80 E, Statesboro, GA 30461
Open in Google Maps ↗

Other Identifiers 1

OtherRN213296GA · Georgia License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Whitener is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567846074
PECOS Enrollment IDI20220901001933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY TILLMAN
Nurse Practitioner (Family)
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090
MALINI STEWART RDN
Dietitian, Registered
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090
ANGELA MARIE DAVIS M.D.
Family Medicine
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090
AMY JO RIGGS RD, LD
Dietitian, Registered
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090

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 Kellie Whitener's NPI number?

The NPI number for Kellie Whitener is 1093301855. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Kellie Whitener located?

Kellie Whitener practices at 23702 Hwy 80 E, Statesboro, GA 30461. The listed phone number is (912) 489-4090.

What is Kellie Whitener's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kellie Whitener enrolled in Medicare?

Yes. Kellie Whitener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kellie Whitener accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kellie Whitener as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kellie Whitener affiliated with any hospitals?

According to CMS data, Kellie Whitener is affiliated with East Georgia Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kellie Whitener was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.