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MICHELLE CATHLEEN WHATLEY NP
NPI 1891318333
Nurse Practitioner - Family in Royston, GA

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
132 FRANKLIN SPRINGS ST STE A, ROYSTON, GA 30662(706) 621-7575(833) 305-0340 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2024, Jun 3, 2021, Apr 20, 2021 and 1 more (4 updates tracked since 2020).

About Michelle Cathleen Whatley Np NPPES

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

MICHELLE CATHLEEN WHATLEY NP (NPI 1891318333) is an individual family provider in Royston, Georgia, licensed in Georgia (RN184307) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Athens, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891318333
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE CATHLEEN WHATLEYCredential: NP
Location Address132 FRANKLIN SPRINGS ST STE ARoyston, GA 30662-4134
Mailing Address1061 Dowdy Rd Ste 204Athens, GA 30606-5700 · (706) 621-7575 · Fax (833) 305-0340
Phone(706) 621-7575
Fax(833) 305-0340
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 19, 2020
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1891318333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN184307
132 FRANKLIN SPRINGS ST STE A, Royston, GA 30662
Open in Google Maps ↗

Secondary Practice Location 1

Location 1250 Bray StreetAthens, GA 30601 · Phone (706) 612-6995

Other Identifiers 1

OtherG285824AGA · Medicare Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Michelle Cathleen Whatley 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.

PECOS PAC ID7517366602
PECOS Enrollment IDI20210521001004
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 Reassignments

4

Medicare enrollment records show Michelle Whatley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reddy Urgent Care LLC
27 mi
Urgent Care
4038 LEXINGTON RD
Athens, GA 30605
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1851883342 (706) 621-7575
Reddy Medical Group LLC
28 mi
Internal Medicine
855 W BROAD ST STE A
Athens, GA 30601
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1427184654 (706) 621-7575
Great Health Medical Ga PC
71 mi
Family Medicine
300 COLONIAL CENTER PKWY STE 100N
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1881302305 (718) 534-0689
Peachtree Immediate Care Fp, LLC
98 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900

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 9

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
67 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services55 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.
58 services58 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
56 services14 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.
51 services46 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30662 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
$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.

Other Providers at the Same Location NPPES 2

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

CASEY SALCEDO
Nurse Practitioner (Family)
132 FRANKLIN SPRINGS ST STE A
ROYSTON, GA 30662
Franklin County (706) 621-7575
HANNA MINOT PA-C
Physician Assistant
132 FRANKLIN SPRINGS ST STE A
ROYSTON, GA 30662
Franklin County (706) 621-7575

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 Michelle Whatley's NPI number?

The NPI number for Michelle Whatley is 1891318333. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Michelle Whatley located?

Michelle Whatley practices at 132 Franklin Springs St Ste A, Royston, GA 30662. The listed phone number is (706) 621-7575.

What is Michelle Whatley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Whatley enrolled in Medicare?

Yes. Michelle Whatley 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 Michelle Whatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Whatley reassigns Medicare benefits to 4 organizations: Reddy Urgent Care LLC (Athens, GA), Reddy Medical Group LLC (Athens, GA), Great Health Medical Ga PC (Roswell, GA) and Peachtree Immediate Care Fp, LLC (Hiram, GA). 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 Michelle Whatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Whatley accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Michelle Whatley 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 Michelle Whatley was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.