MARK A. WHITEHEAD (PA-C) – Pediatrics Physician, NPI 1235326059
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for MARK A. WHITEHEAD (PA-C)
326, North Locust Avenue, Lawrenceburg, Lawrence County, Tennessee, 38464, United States
STE B
LAWRENCEBURG, TN 384643516
Phone: (931) 762-9797
Fax: (931) 762-9798
Type: Mailing
Building A, 1222, Trotwood Avenue, Rolling Fields, Columbia, Maury County, Tennessee, 38401, United States
STE 108
COLUMBIA, TN 38401
Phone: (931) 388-8965
Fax: (931) 840-8520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Novo Nordisk Inc ($157).
Total Amount
$444
General + Research + Ownership
Payments
25
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $157 |
| ABBVIE INC. | $104 |
| AstraZeneca Pharmaceuticals LP | $77 |
| Bayer Healthcare Pharmaceuticals Inc. | $73 |
| Lilly USA, LLC | $17 |
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: 2007-12-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071210000648 | I | Physician Assistant | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38464)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
Reviews
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