DR. JACK H WHITAKER MD
NPI 1922064047
Internal Medicine - Cardiovascular Disease in Greeneville, TN

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
1410 TUSCULUM BLVD.,, SUITE 1500, GREENEVILLE, TN 37745(423) 638-2270(423) 928-0219 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack H Whitaker Md NPPES

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

DR. JACK H WHITAKER MD (NPI 1922064047) is an individual cardiovascular disease provider in Greeneville, Tennessee, licensed in Tennessee (20931) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (1989).

NPPES Registry Identity

NPI1922064047
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JACK H WHITAKERCredential: MD
Location Address1410 TUSCULUM BLVD.,, SUITE 1500Greeneville, TN 37745
Mailing Address105 W Stone Dr, Suite 6aKingsport, TN 37660-3365 · (423) 408-7220 · Fax (423) 408-7405
Fax(423) 928-0219
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1989
Enumeration DateApril 26, 2006
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1922064047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in TN · 20931 Licensed in VA · 0101245897
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1410 TUSCULUM BLVD.,, Greeneville, TN 37745

Other Identifiers 3

OtherTN01S2TN · John Deere
Other4082722TN · Bcbs
Medicaid3078282TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack H Whitaker Md 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 ID5698757128
PECOS Enrollment IDI20040607001001, I20101221001144
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 20

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
399 services395 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
199 services197 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
195 services191 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
152 services148 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
120 services87 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.
62 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Jack Whitaker's NPI number?

The NPI number for Jack Whitaker is 1922064047. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jack Whitaker located?

Jack Whitaker practices at 1410 Tusculum Blvd., Suite 1500, Greeneville, TN 37745. The listed phone number is (423) 638-2270.

What is Jack Whitaker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jack Whitaker enrolled in Medicare?

Yes. Jack Whitaker 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.

What insurance does Jack Whitaker accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Jack Whitaker 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 Jack Whitaker affiliated with any hospitals?

According to CMS data, Jack Whitaker is affiliated with Sycamore Shoals Hospital, Greeneville Community Hospital, Johnson City Medical Center, Franklin Woods Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jack Whitaker was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.