JACK MOORE WHITEHEAD M.D. - NPI 1952834558 - Pediatrics in Brentwood, TN

Q: What is Jack Whitehead's NPI number?

The NPI number for Jack Whitehead is 1952834558. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Jack Whitehead's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Whitehead was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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About Jack Moore Whitehead M.d. NPPES

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

JACK MOORE WHITEHEAD M.D. (NPI 1952834558) is an individual pediatrics provider in Brentwood, Tennessee, licensed in Tennessee (60997) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952834558

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACK MOORE WHITEHEADCredential: M.D.

Location Address1620 WESTGATE CIRBrentwood, TN 37027-8035

Mailing Address222 22nd Ave NNashville, TN 37203-1852 · (629) 255-3486 · Fax (629) 255-3075

Phone(629) 255-2254

Fax(629) 255-4262

Sole ProprietorNo

Enumeration DateApril 10, 2017

Last NPPES UpdateDecember 18, 20245 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1952834558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 60997

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1620 WESTGATE CIR, Brentwood, TN 37027

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Other Identifiers 1

MedicaidQ042507TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Moore Whitehead M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 10

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

NIHARIKA SAINI DO

Obstetrics & Gynecology