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ADDISON WHITEHEAD
NPI 1487429171
Nurse Practitioner in Atlanta, GA

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
1520 CLIFTON RD NE, ATLANTA, GA 30322(404) 727-7980 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2025, Dec 3, 2024, Nov 22, 2023 (3 updates tracked since 2023).

About Addison Whitehead NPPES

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

ADDISON WHITEHEAD (NPI 1487429171) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN299860) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2024).

NPPES Registry Identity

NPI1487429171
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADDISON WHITEHEAD
Location Address1520 CLIFTON RD NEAtlanta, GA 30322-4201
Mailing Address1520 Clifton Rd NeAtlanta, GA 30322-4201 · (404) 727-7980
Phone(404) 727-7980
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2024
Enumeration DateNovember 22, 2023
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1487429171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN299860
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1520 CLIFTON RD NE, Atlanta, GA 30322
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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

Addison Whitehead 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 ID244750636
PECOS Enrollment IDI20250228002237
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 Reassignment

Medicare enrollment records show Addison Whitehead reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Bortolazzo Group, LLC
16 mi
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
NPI 1801965082 (770) 732-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 20

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

BERLY POINT DU JOUR
Registered Nurse
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
SYDNEY TZOU
Registered Nurse
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
ANNEKE DEMMINK MN, MPH, RN
Nurse Practitioner (Women's Health)
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
DANIELA SWINFORD
Registered Nurse
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
KHANNYIEJRAH WATKINS
Registered Nurse
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
JADE MCGILL RN
Registered Nurse
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
BENADINA MUSSA MIGENDA
Registered Nurse
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-7980
EUN HEE CHO RN
Student in an Organized Health Care Education/Training Program
1520 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 310-5333

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 Addison Whitehead's NPI number?

The NPI number for Addison Whitehead is 1487429171. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Addison Whitehead located?

Addison Whitehead practices at 1520 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 727-7980.

What is Addison Whitehead's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Addison Whitehead enrolled in Medicare?

Yes. Addison 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 organization bills Medicare for Addison Whitehead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Addison Whitehead reassigns Medicare benefits to The Bortolazzo Group, LLC (Austell, GA). The 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 Addison Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Addison Whitehead was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.