DR. GORDON COOPER SOUTH WHITT MD
NPI 1639791056
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Gordon Whitt's NPI number?

The NPI number for Gordon Whitt is 1639791056. It was assigned to this individual provider in the NPPES registry on May 7, 2020. The provider is also known as South Whitt.

Q: What is Gordon Whitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Whitt was last updated on June 26, 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 May 07, 2020PECOS Enrolled

500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(502) 852-8696 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2023, May 7, 2020 (2 updates tracked since 2020).

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About Dr. Gordon Cooper South Whitt Md NPPES

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

DR. GORDON COOPER SOUTH WHITT MD (NPI 1639791056) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639791056

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GORDON COOPER SOUTH WHITTCredential: MD

Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702

Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702 · (502) 852-8696

Phone(502) 852-8696

Sole ProprietorNo

Enumeration DateMay 7, 2020

Last NPPES UpdateJune 26, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2023

✔ NPI 1639791056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

500 S PRESTON ST RM 305, Louisville, KY 40202

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Other Names 1

Other Name (5)South Whitt

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Cooper South Whitt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

JULIANNE GRACE SCHULTZ

Student in an Organized Health Care Education/Training Program