MRS. AMY MICHELLE WHITLEY – Family Nurse Practitioner, NPI 1518460781

MRS. AMY MICHELLE WHITLEY is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN177303 (GA). The NPI Number for MRS. AMY MICHELLE WHITLEY is 1518460781

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY MICHELLE WHITLEY
NPI
1518460781
Phone
(912) 383-7826
Address
306 WESTSIDE DR
Enumeration Date
14 March 2018
Last Update Date
14 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123843838
Graduation Year
2017 (9 years ago)
PAC ID
4789923756
Group Practice PAC ID
7618959594
Professional Enrollment ID
I20190308002541
Address ID
GA315332250DO102XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

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Provider Addresses for MRS. AMY MICHELLE WHITLEY

  • 306, Westside Drive, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315333530

    Phone: (912) 383-7826

    Fax: (912) 383-7299

    Type: Mailing

  • Coffee Regional Medical Center, 1101, Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315332207

    Phone: (912) 384-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,472.

Total Amount is formed as General ($1,472) + Research ($0) + Ownership ($0) = $1,472.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($354).

Total Amount

$1,472

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2019-03-08

PECOS data refreshed: 2026-06-15

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
I20190308002541INurse PractitionerGATBD

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 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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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: 7618959594View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. AMY MICHELLE WHITLEY's NPI?
Yes. MRS. AMY MICHELLE WHITLEY is listed with NPI 1518460781 in the public NPI dataset.
Does CMS list MRS. AMY MICHELLE WHITLEY as active?
Yes — MRS. AMY MICHELLE WHITLEY is active in the NPI listing used on this page.
What is MRS. AMY MICHELLE WHITLEY's specialty?
The listing groups MRS. AMY MICHELLE WHITLEY with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. AMY MICHELLE WHITLEY serve?
MRS. AMY MICHELLE WHITLEY's listing highlights Douglas, Georgia; more addresses can appear in NPPES.
Why does MRS. AMY MICHELLE WHITLEY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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