JAMES C JR. WHITED (ARNP, LMT) – Family Nurse Practitioner, NPI 1457668618
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for JAMES C JR. WHITED (ARNP, LMT)
592 ELLIS RD S STE 114A
JACKSONVILLE, FL 322543574
Phone: (904) 384-9007
Fax: (904) 384-2899
Type: Mailing
455 EDGEWOOD AVE S
JACKSONVILLE, FL 322053727
Phone: (904) 384-9007
Fax: (904) 384-2899
Type: Location
480 SW Main Blvd South
Lake City, FL 320253574
Phone: (904) 384-9007
Fax: (904) 384-2899
Type: Location
455 EDGEWOOD AVE SOUTH
JACKSONVILLE, FL 32205
Phone: (904) 384-9007
Fax: (904) 384-2899
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $395.
Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($261).
Total Amount
$395
General + Research + Ownership
Payments
24
Total payment records
General Amount
$395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111101000712 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3490 | Unclassified drugs | 569 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 413 | 53 | $0 |
| 11980 | Placement of hormone pellet under skin | 39 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32254)
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