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ZACHARY JORDAN WHITAKER PA
NPI 1750649653
Physician Assistant in Vidalia, GA

Active since April 27, 2012PECOS Enrolled
100/100
CMS Quality Rating
1 MEADOWS PKWY, VIDALIA, GA 30474(912) 535-5555 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Zachary Jordan Whitaker Pa NPPES

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

ZACHARY JORDAN WHITAKER PA (NPI 1750649653) is an individual physician assistant in Vidalia, Georgia, licensed in Georgia (6460) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vidalia.

NPPES Registry Identity

NPI1750649653
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACHARY JORDAN WHITAKERCredential: PA
Location Address1 MEADOWS PKWYVidalia, GA 30474-8759
Mailing Address1056 C.v. Mosley BlvdVidalia, GA 30474
Phone(912) 535-5555
Sole ProprietorNo
Enumeration DateApril 27, 2012
Last NPPES UpdateMay 15, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1750649653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 6460
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 MEADOWS PKWY, Vidalia, GA 30474
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Secondary Practice Location 1

Location 1303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854 · Phone (912) 535-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Jordan Whitaker Pa 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
79 services78 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

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.

MRS. CINDY ELLEN HAND NP
Nurse Practitioner
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5555
MRS. LYNDSAY M WALDHOUR RD, LD
Dietitian, Registered
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5562
BRICK ACOSTA M.D.
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5555
HENRY D CLINE M.D.
Radiology (Radiation Oncology)
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 538-7777
MR. JAMES R PAYNE PA C
Physician Assistant
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 454-7012
COSTRINI & MEADOWS, PC
Internal Medicine (Pulmonary Disease)
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 927-6270
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Anesthesiology
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 537-4986
DR. CHARLES A GORDON MD
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Toombs County (912) 535-5555

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 Zachary Whitaker's NPI number?

The NPI number for Zachary Whitaker is 1750649653. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Zachary Whitaker located?

Zachary Whitaker practices at 1 Meadows Pkwy, Vidalia, GA 30474. The listed phone number is (912) 535-5555.

What is Zachary Whitaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zachary Whitaker enrolled in Medicare?

Yes. Zachary Whitaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Whitaker was last updated on May 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.