MISS STACY KAY WHITEHEAD FNP-C
NPI 1275969081
Nurse Practitioner - Family in Dalton, GA

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment
1411 CHATTANOOGA AVENUE, SUITE 101, DALTON, GA 30720(706) 272-0272(706) 272-0276 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 30, 2021, May 9, 2018, Apr 26, 2017 (3 updates tracked since 2017).

About Miss Stacy Kay Whitehead Fnp-c NPPES

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

MISS STACY KAY WHITEHEAD FNP-C (NPI 1275969081) is an individual family provider in Dalton, Georgia, licensed in Wisconsin (10659) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275969081
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS STACY KAY WHITEHEADCredential: FNP-C
Location Address1411 CHATTANOOGA AVENUE, SUITE 101Dalton, GA 30720
Mailing Address1411 Chattanooga Avenue, Suite 101Dalton, GA 30720 · (706) 272-0272 · Fax (706) 272-0276
Fax(706) 272-0276
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 25, 2013
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1275969081 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
Licenses✔ Licensed in WI · 10659✔ Licensed in GA · 218472✔ Licensed in GA · RN218472✔ Licensed in TN · 17937
1411 CHATTANOOGA AVENUE, Dalton, GA 30720

Other Identifiers 1

Medicaid003158725DGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Stacy Kay Whitehead Fnp-c 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 ID42436966
PECOS Enrollment IDI20221017001159
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Stacy Whitehead reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nutrition
6035 SHALLOWFORD RD, SUITE 101
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
Cardiovascular Disease
2341 MCCALLIE AVE, PLAZA 3, STE. 200
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
Rural Health
119 WHITE WATER DR
Ocoee, TN 37361
  • Reassigned Medicare billing, Tennessee enrollment
  • 16 clinicians in this Medicare group
Clinic/Center
10044 WOLF RD, #A
Grass Valley, CA 95949
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 918 clinicians in this Medicare group
Cardiovascular Disease
550 17TH AVE FL 6
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
197 services160 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
103 services103 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
100 services96 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.
87 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services55 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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.

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 Stacy Whitehead's NPI number?

The NPI number for Stacy Whitehead is 1275969081. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Stacy Whitehead located?

Stacy Whitehead practices at 1411 Chattanooga Avenue Suite 101, Dalton, GA 30720. The listed phone number is (706) 272-0272.

What is Stacy Whitehead's specialty?

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

Is Stacy Whitehead enrolled in Medicare?

Yes. Stacy Whitehead 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.

Which organizations bill Medicare for Stacy Whitehead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Whitehead reassigns Medicare benefits to 6 organizations: Chattanooga Family And Sports Medical Center, PLLC (Chattanooga, TN), Diagnostic Cardiology Group (Chattanooga, TN), Bradley Polk Walk In Clinic (Ocoee, TN), Regents Of The University Of Ca (Grass Valley, CA), Swedish Health Services (Seattle, WA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Whitehead accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Stacy Whitehead 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 Stacy Whitehead affiliated with any hospitals?

According to CMS data, Stacy Whitehead is affiliated with Swedish Medical Center / Cherry Hill.

When was this NPI record last updated?

The NPPES record for Stacy Whitehead was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.