COREYONNA DURAYNE WHITEHEAD NP
NPI 1760111660
Nurse Practitioner - Family in Lithonia, GA
About Coreyonna Durayne Whitehead Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COREYONNA DURAYNE WHITEHEAD NP (NPI 1760111660) is an individual family provider in Lithonia, Georgia, licensed in Georgia (268388) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Coreyonna Durayne Whitehead Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Coreyonna Whitehead reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
Murfreesboro, TN 37129
- Reassigned Medicare billing, Georgia enrollment
- 22 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Coreyonna Whitehead's NPI number?
The NPI number for Coreyonna Whitehead is 1760111660. It was assigned to this individual provider in the NPPES registry on June 7, 2022. The provider is also known as Coreyonna Durayne Welch.
Where is Coreyonna Whitehead located?
Coreyonna Whitehead practices at 5700 Hillandale Dr Ste 290, Lithonia, GA 30058. The listed phone number is (678) 367-3212.
What is Coreyonna Whitehead's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Coreyonna Whitehead enrolled in Medicare?
Yes. Coreyonna 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 Coreyonna Whitehead's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coreyonna Whitehead reassigns Medicare benefits to 2 organizations: Grady Memorial Hospital Corporation (Atlanta, GA) and Twelvestone Infusion Centers LLC (Murfreesboro, TN). 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 Coreyonna Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Coreyonna Whitehead accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Coreyonna 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.
When was this NPI record last updated?
The NPPES record for Coreyonna Whitehead was last updated on September 25, 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.
# Coreyonna Durayne Whitehead, NP · NPI 1760111660
Family physician in Lithonia, Georgia. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1760111660 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 268388 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5700 HILLANDALE DR STE 290, Lithonia, GA 30058-4120
- **Phone:** (678) 367-3212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA); Twelvestone Infusion Centers LLC (NPI 1447764857, Murfreesboro, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760111660) · Data from the CMS NPPES public registry.