DR. MARY MELODY DAWSON WHITAKER DMD
NPI 1902219652
Dentist - General Practice in Little River, SC

Q: What is Mary Whitaker's NPI number?

The NPI number for Mary Whitaker is 1902219652. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Q: What is Mary Whitaker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Whitaker was last updated on December 3, 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.

Active since June 10, 2014PECOS Enrolled

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 663-8166 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, Aug 14, 2023, Jul 12, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Mary Melody Dawson Whitaker Dmd NPPES

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

DR. MARY MELODY DAWSON WHITAKER DMD (NPI 1902219652) is an individual general practice provider in Little River, South Carolina, licensed in South Carolina (8382) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1902219652

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY MELODY DAWSON WHITAKERCredential: DMD

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-8166

Phone(843) 663-8000

Fax(843) 663-8166

Sole ProprietorNo

Enumeration DateJune 10, 2014

Last NPPES UpdateDecember 3, 20244 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1902219652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 8382

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4303 LIVE OAK DR, Little River, SC 29566

Open in Google Maps ↗

Secondary Practice Location 1

Location 14220 Carolina Exchange DrMyrtle Beach, SC 29579-4220 · Phone (843) 663-8000 · Fax (843) 663-8166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Dr. Mary Melody Dawson Whitaker Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Whitaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Little River Medical Center Inc

Same address

Federally Qualified Health Center (FQHC)

4303 LIVE OAK DR
Little River, SC 29566

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1346638483 (South Carolina)
104 clinicians in this Medicare group

NPI 1629021076 (843) 663-8000

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 29566 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

JESSE MITCHEL RAYBON DMD

Dentist