MR. ALBERT WHITAKER JR. MD
NPI 1114079365
General Practice in Gastonia, NC

Active since January 17, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 34D0723251 · Waiver
224 S NEW HOPE RD, SUITE K, GASTONIA, NC 28054(704) 867-7494(704) 867-7432 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Albert Whitaker Jr. Md NPPES

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

MR. ALBERT WHITAKER JR. MD (NPI 1114079365) is an individual general practice provider in Gastonia, North Carolina, licensed in North Carolina (23244) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 22, 2027, and is affiliated with Caromont Regional Medical Center.

NPPES Registry Identity

NPI1114079365
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. ALBERT WHITAKER JR.Credential: MD
Location Address224 S NEW HOPE RD, SUITE KGastonia, NC 28054-4873
Mailing Address224 South New Hope Rd., Suite KGastonia, NC 28054-0020 · (704) 867-7494 · Fax (704) 867-7432
Fax(704) 867-7432
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1977
Enumeration DateJanuary 17, 2007
Last NPPES UpdateFebruary 22, 2010
NPI 1114079365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NC · 23244
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
224 S NEW HOPE RD, Gastonia, NC 28054

Other Identifiers 4

Medicare UPINC81157
Medicaid8986901NC
Other86901NC · Bcbsnc
Medicare ID-Type Unspecified202241NC

Accepted 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

Mr. Albert Whitaker Jr. Md 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 ID4688718844
PECOS Enrollment IDI20100225000678
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0723251

Albert Whitaker Jr MD · Gastonia, NC
Active · expires Dec 22, 2027
CLIA Number34D0723251
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAlbert Whitaker
Laboratory Phone(704) 867-7494
Laboratory LocationAlbert Whitaker Jr MD224 S New Hope Rd Ste K, Gastonia, NC 28054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
35 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
224 S NEW HOPE RD, SUITE B
GASTONIA, NC 28054
Clinic/Center
224 S NEW HOPE RD, SUITE K
GASTONIA, NC 28054
Dentist (General Practice)
224 S NEW HOPE RD, SUITE B
GASTONIA, NC 28054
Residential Treatment Facility, Emotionally Disturbed Children
224 S NEW HOPE RD
GASTONIA, NC 28054
Dentist (General Practice)
224 S NEW HOPE RD, STE. I
GASTONIA, NC 28054
Dental Hygienist
224 S NEW HOPE RD
GASTONIA, NC 28054

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 Albert Whitaker's NPI number?

The NPI number for Albert Whitaker is 1114079365. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Albert Whitaker located?

Albert Whitaker practices at 224 S New Hope Rd Suite K, Gastonia, NC 28054. The listed phone number is (704) 867-7494.

What is Albert Whitaker's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Albert Whitaker enrolled in Medicare?

Yes. Albert Whitaker 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.

Does Albert Whitaker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0723251) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Albert Whitaker accept?

Health plans from Blue Cross and Blue Shield of NC list Albert Whitaker 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 Albert Whitaker affiliated with any hospitals?

According to CMS data, Albert Whitaker is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Albert Whitaker was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.