DR. JONATHON DAVID WHITEHEAD (MD) – Orthopaedic Hand Surgery Physician, NPI 1053970228

DR. JONATHON DAVID WHITEHEAD (MD) is a healthcare provider. based in Augusta, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD.48532 (AL). The NPI Number for DR. JONATHON DAVID WHITEHEAD (MD) is 1053970228

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHON DAVID WHITEHEAD (MD)
NPI
1053970228
Phone
Not provided
Address
1120 15TH ST
Enumeration Date
11 June 2019
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059854111
Graduation Year
2019 (7 years ago)
PAC ID
3678808557
Group Practice PAC ID
2365800604
Professional Enrollment ID
I20250410002811
Address ID
AL352443280HO4517XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

933 ORTHOPEDIC SURGERY in GA

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Provider Addresses for DR. JONATHON DAVID WHITEHEAD (MD)

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone:

    Type: Mailing

  • 1120 15th St

    Augusta, GA 309120004

    Phone: (706) 721-0211

    Type: Location

  • 1120 15th Street Augusta

    Augusta, GA 309120001

    Phone: (205) 601-5914

    Type: Location

  • PO BOX 117709

    ATLANTA, GA 303687709

    Phone: (205) 985-4111

    Fax: (205) 985-4326

    Type: Mailing

  • 4517 SOUTHLAKE PKWY

    HOOVER, AL 352443280

    Phone: (205) 985-4111

    Fax: (205) 985-4326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,472.

Total Amount is formed as General ($2,472) + Research ($0) + Ownership ($0) = $2,472.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($983).

Total Amount

$2,472

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2025-04-10

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
I20250410002811IOrthopedic SurgeryALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30912)

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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: 2365800604View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Diagnostic RadiologyAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physical Therapist In Private PracticeAL
Physician AssistantAL
Hand Surgery, Orthopedic SurgeryAL
Orthopedic SurgeryAL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

How do I look up DR. JONATHON DAVID WHITEHEAD (MD) by NPI?
Use NPI 1053970228 when you need to reference DR. JONATHON DAVID WHITEHEAD (MD) in forms, claims, or directories.
Is DR. JONATHON DAVID WHITEHEAD (MD) currently active in the NPI registry?
CMS-published data lists DR. JONATHON DAVID WHITEHEAD (MD) as an active registrant.
Does DR. JONATHON DAVID WHITEHEAD (MD) list a primary specialty?
If you are matching referrals, note Orthopaedic Hand Surgery Physician for DR. JONATHON DAVID WHITEHEAD (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JONATHON DAVID WHITEHEAD (MD)?
The page summarizes Augusta, Georgia for DR. JONATHON DAVID WHITEHEAD (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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