JOHN KARL WHALEN (DO) – Epilepsy Physician, NPI 1093337057

JOHN KARL WHALEN (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in NEUROLOGY, EPILEPTOLOGISTS. They hold the professional credentials DO. They hold a License No. OS21301 (FL). The NPI Number for JOHN KARL WHALEN (DO) is 1093337057

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JOHN KARL WHALEN (DO)
NPI
1093337057
Phone
(904) 202-2092
Address
PO BOX 746649
Enumeration Date
13 May 2020
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045161880
Graduation Year
2020 (6 years ago)
PAC ID
2860814415
Group Practice PAC ID
0345366704
Professional Enrollment ID
I20250708003158
Address ID
FL320036409FL2310XPKWY403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,847 NEUROLOGY in FL

Provider Addresses for JOHN KARL WHALEN (DO)

  • PO BOX 746649

    ATLANTA, GA 303746649

    Phone: (904) 202-2092

    Fax: (904) 376-4075

    Type: Mailing

  • 2310 VILLAGE SQUARE PKWY STE 202

    FLEMING ISLAND, FL 320036409

    Phone: (904) 516-1880

    Fax: (904) 516-1885

    Type: Location

  • 100 DICKENS CT APT 7

    CHAPEL HILL, NC 275146902

    Phone: (516) 459-4872

    Type: Mailing

  • 101 MANNING DR

    CHAPEL HILL, NC 275144220

    Phone: (984) 974-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-08

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
I20250708003158INeurologyFLTBD

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 30374)

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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: 0345366704View full group profile
NameSpecialtyState
N E U R O L O G YFL
N E U R O L O G YGA
Nurse PractitionerGA
-FL
Nurse PractitionerGA
-FL
Neurology, OphthalmologyFL
N E U R O L O G YFL
Nurse PractitionerFL
N E U R O L O G YFL

Reviews

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Frequently asked questions

How do payers reference JOHN KARL WHALEN (DO)?
For JOHN KARL WHALEN (DO), use NPI 1093337057 as the unique 10-digit identifier.
Would JOHN KARL WHALEN (DO) appear as active to a payer?
You can treat JOHN KARL WHALEN (DO) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JOHN KARL WHALEN (DO)'s focus?
For JOHN KARL WHALEN (DO), the primary taxonomy reads as Epilepsy Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN KARL WHALEN (DO)?
Directory geography for JOHN KARL WHALEN (DO) centers on Atlanta, Georgia.
Can I trust this NPI listing for JOHN KARL WHALEN (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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