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MICHAEL BROUGHTEN WHITLOW M.D.
NPI 1700266418
Internal Medicine - Nephrology in Augusta, GA

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
1109 MEDICAL CENTER DR STE 5, AUGUSTA, GA 30909(706) 863-6637(706) 863-6638 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Broughten Whitlow M.d. NPPES

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

MICHAEL BROUGHTEN WHITLOW M.D. (NPI 1700266418) is an individual nephrology provider in Augusta, Georgia, licensed in Georgia (85172) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2015).

NPPES Registry Identity

NPI1700266418
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMICHAEL BROUGHTEN WHITLOWCredential: M.D.
Location Address1109 MEDICAL CENTER DR STE 5Augusta, GA 30909-6639
Mailing Address1109 Medical Center Dr Ste 5Augusta, GA 30909-6639 · (706) 863-6637 · Fax (706) 863-6638
Phone(706) 863-6637
Fax(706) 863-6638
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2015
Enumeration DateJune 8, 2015
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1700266418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 85172
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL38334 (SC)
1109 MEDICAL CENTER DR STE 5, Augusta, GA 30909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Michael Broughten Whitlow M.d. 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 ID4082915327
PECOS Enrollment IDI20200529001400
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 Michael Whitlow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates, PC
7.4 mi
Nephrology
701 GREENE ST STE 200
Augusta, GA 30901
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1891744322 (706) 722-6900

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 8

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.

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.
326 services48 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
253 services38 patients
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.
234 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
178 services12 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.
51 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA
OwnershipProprietary
CMS Certification Number110113
Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 Michael Whitlow's NPI number?

The NPI number for Michael Whitlow is 1700266418. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Michael Whitlow located?

Michael Whitlow practices at 1109 Medical Center Dr Ste 5, Augusta, GA 30909. The listed phone number is (706) 863-6637.

What is Michael Whitlow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Michael Whitlow enrolled in Medicare?

Yes. Michael Whitlow 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 Michael Whitlow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Whitlow reassigns Medicare benefits to Nephrology Associates, PC (Augusta, 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 Michael Whitlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Whitlow accept?

Health plans from Alliant Health Plans, Inc. list Michael Whitlow 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 Michael Whitlow affiliated with any hospitals?

According to CMS data, Michael Whitlow is affiliated with Piedmont Augusta Hospital, Au Medical Center, University Mcduffie County Regional Medical Center, Burke Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Michael Whitlow was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.