XENA ANTOINETTE WHITTIER


Address: 700 Church St Ne, Marietta, GA 30060-7220
Phone: 7704201690

XENA ANTOINETTE WHITTIER (NPI# 1710114517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710114517
Entity Type Individual
Full Name XENA ANTOINETTE WHITTIER
Credential M.D.
Practice Address 700 Church St Ne
Marietta
GA 30060-7220
Practice Telephone 7704201690
Practice Fax Number 7704201661
Mailing Telephone 7704201690
Mailing Fax Number 7704201661
Enumeration Date 2009-06-18
Last Update Date 2019-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
074620 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1958221 05
MS 00986895 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
355 Tower Rd Ne Ste 103, Marietta, GA 300609410 7704201690 7704201661

Office Location

Street Address 700 CHURCH ST NE
City MARIETTA
State GA
Zip Code 30060-7220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629068945 Kim Wilder-dyer Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2005-10-27
1912325655 Rheumatology Associates of Marietta Clinic/Center 700 Church St Ne, Marietta, GA 30060-7220 2014-03-31
1992082739 Wellstar Cardiovascular Medicine, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-11-08
1114210127 Wellstar Medical Group, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-05-24
1538465109 Wellstar Medical Group, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-01-31
1639302250 Allyson Joy Underwood Nurse Practitioner 700 Church St Ne, Marietta, GA 30060-7220 2009-08-30
1326239823 A. Henry Randall Jr. Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2007-08-08
1720287188 Wellstar Rheumatology Associates of Marietta, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2007-07-16
1821044207 Wellstar Marietta Primary Care, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2006-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497061972 Ritesh Kohli Internal Medicine 670 North Ave Nw Ste 100, Marietta, GA 30060-1100 2010-08-23
1811194681 Mohammad Kamran Internal Medicine 355 Tower Road Suite 103, Marietta, GA 30060 2007-06-27
1801928692 Kathleen L Johnson Internal Medicine 664 Willow Knoll Dr Se, Marietta, GA 30067-4682 2007-03-09
1023165172 Jonathan D. Krant Internal Medicine 800 Wayne St Ste 100, Marietta, OH 45750-3309 2007-01-04
1114210127 Wellstar Medical Group, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-05-24
1730367343 G Singelton Gaston Md Internal Medicine 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 2008-02-06
1366625139 The Arthritis Center At Windy Hill,pc Internal Medicine 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 2007-12-14
1720287188 Wellstar Rheumatology Associates of Marietta, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2007-07-16
1508819467 Gloria Singleton Gaston Internal Medicine 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154954758 James Clark Internal Medicine 1409 Satilla Blvd, Waycross, GA 31501-4322 2020-02-21
1609428325 Duluth Regenerative and Joint Institute LLC Internal Medicine 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 2019-07-12
1629464805 Articularis Healthcare Group Inc. Internal Medicine 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 2015-04-14
1013312040 Heart of Georgia Rheumatology LLC Internal Medicine 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 2014-11-04
1770922072 Suzana Alex John Internal Medicine 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 2013-06-19
1083960447 Taik Kim Internal Medicine 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 2012-08-02
1851655518 Romy Nicolas Abou Mrad Internal Medicine 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 2012-06-27
1881960383 Manmohan Gupta M.d., P.C. Internal Medicine 770 Pine St., Suite 440, Macon, GA 31201-7599 2012-03-29
1669744769 Padmanaidu Karnam Internal Medicine 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 2012-02-03
1043517683 Jatin Patel Internal Medicine 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 2011-02-17
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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