DAVID H WHITESIDE (FNP) – Nurse Practitioner, NPI 1003205626

DAVID H WHITESIDE (FNP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 19241 (SC). The NPI Number for DAVID H WHITESIDE (FNP) is 1003205626

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DAVID H WHITESIDE (FNP)
NPI
1003205626
Phone
(864) 560-4304
Address
PO BOX 743070
Enumeration Date
20 January 2015
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8645855433
Graduation Year
2014 (12 years ago)
PAC ID
6901127513
Group Practice PAC ID
3072425297
Professional Enrollment ID
I20150608003072
Address ID
SC293034214SP1330XRDXX402
Telehealth
Yes

Contacts

Secure Messaging
dwhiteside71208@direct-srhs.et0939.epichosted.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

5,299 NURSE PRACTITIONER in SC

Provider Addresses for DAVID H WHITESIDE (FNP)

  • PO BOX 743070

    ATLANTA, GA 303743070

    Phone: (864) 560-4304

    Fax: (864) 560-4413

    Type: Mailing

  • 1330 BOILING SPRINGS RD

    SUITE 2500

    SPARTANBURG, SC 293034201

    Phone: (864) 585-5433

    Fax: (864) 591-4053

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 211 Open Payments records for all available years, with a total value of $3,806.

Total Amount is formed as General ($3,806) + Research ($0) + Ownership ($0) = $3,806.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($738).

Total Amount

$3,806

General + Research + Ownership

Payments

211

Total payment records

General Amount

$3,806

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-06-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150608003072INurse PractitionerSCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes273151$0
36415Insertion of needle into vein for collection of blood sample219125$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count180118$0
81001Manual urinalysis test with examination using microscope, automated8067$0
83036Hemoglobin a1c level8053$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Provider's Procedures

DAVID H WHITESIDE (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERSC90670Pneumococcal vaccine for injection into muscle2929

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425297View full group profile
NameSpecialtyState
-FL
H E M A T O L O G Y/ O N C O L O G YGA
-GA
Family PracticeSC
Diagnostic RadiologyTX
Nurse PractitionerSC
-GA
Diagnostic RadiologyTX
-SC
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

Is DAVID H WHITESIDE (FNP) listed with a National Provider Identifier?
Yes — DAVID H WHITESIDE (FNP) has NPI 1003205626 on file in the registry.
Is DAVID H WHITESIDE (FNP) still an active registrant?
DAVID H WHITESIDE (FNP) carries an active NPI according to the public dataset.
What clinical focus is listed for DAVID H WHITESIDE (FNP)?
At a glance, DAVID H WHITESIDE (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DAVID H WHITESIDE (FNP) located near Atlanta?
DAVID H WHITESIDE (FNP) currently maps to Atlanta, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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