KAWAJALEIN LATIC WHITAKER FNP
NPI 1982132171
Nurse Practitioner - Family in Loganville, GA
About Kawajalein Latic Whitaker Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAWAJALEIN LATIC WHITAKER FNP (NPI 1982132171) is an individual family provider in Loganville, Georgia, licensed in Georgia (RN224425) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Haywood Regional Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Kawajalein Latic Whitaker Fnp 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
5Medicare enrollment records show Kawajalein Whitaker reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia and North Carolina enrollments
- 777 clinicians in this Medicare group
Brevard, NC 28712
- Reassigned Medicare billing, North Carolina enrollment
- 234 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Tennessee enrollment
- 1,085 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Virginia enrollment
- 528 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Haywood Regional Medical Center
Acute Care Hospitals · Clyde, NCPhysicians Regional Medical Center
Acute Care Hospitals · Powell, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOGANVILLE, GA 30052
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 Kawajalein Whitaker's NPI number?
The NPI number for Kawajalein Whitaker is 1982132171. It was assigned to this individual provider in the NPPES registry on June 1, 2017.
Where is Kawajalein Whitaker located?
Kawajalein Whitaker practices at 101 Tara Commons Dr, Loganville, GA 30052. The listed phone number is (678) 928-9701.
What is Kawajalein Whitaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kawajalein Whitaker enrolled in Medicare?
Yes. Kawajalein 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.
Which organizations bill Medicare for Kawajalein Whitaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kawajalein Whitaker reassigns Medicare benefits to 5 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Southeastern Medical Group, PC (Brevard, NC), Southeastern Physician Services PC (Oak Ridge, TN), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC) and Southeastern Intensivist Services PC (West Memphis, AR). 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 Kawajalein Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kawajalein Whitaker affiliated with any hospitals?
According to CMS data, Kawajalein Whitaker is affiliated with Haywood Regional Medical Center and Physicians Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kawajalein Whitaker was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kawajalein Latic Whitaker, FNP · NPI 1982132171
Family physician in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since June 1, 2017.
## Identity
- **NPI:** 1982132171 (Entity type: Individual)
- **Enumerated:** June 1, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN224425 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 TARA COMMONS DR, Loganville, GA 30052-8018
- **Phone:** (678) 928-9701
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Southeastern Medical Group, PC (NPI 1184669053, Brevard, NC); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Southeastern Intensivist Services PC (NPI 1912942665, West Memphis, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 1, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1982132171) · Data from the CMS NPPES public registry.