DR. JOSHUA DREW WHITLEDGE (DO) – Family Medicine Physician, NPI 1871596767

DR. JOSHUA DREW WHITLEDGE (DO) is a healthcare provider. based in South fulton, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 02888 (KY). The NPI Number for DR. JOSHUA DREW WHITLEDGE (DO) is 1871596767

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA DREW WHITLEDGE (DO)
NPI
1871596767
Phone
(731) 479-2606
Address
1135 BROADWAY ST
Enumeration Date
24 May 2005
Last Update Date
6 September 2016

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7314792606
Graduation Year
2002 (24 years ago)
PAC ID
6204879802
Group Practice PAC ID
5193070613
Professional Enrollment ID
I20150708000957
Address ID
TN382572835SO1135XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for DR. JOSHUA DREW WHITLEDGE (DO)

  • Broadway Street, South Fulton, Obion County, Tennessee, 38257, United States

    SOUTH FULTON, TN 382572835

    Phone: (731) 479-2606

    Fax: (731) 479-2610

    Mailing address matches the actual address.

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: 2015-07-08

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
I20150708000957IFamily PracticeTNTBD

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 38257)

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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: 5193070613View full group profile

Reviews

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Frequently asked questions

Does DR. JOSHUA DREW WHITLEDGE (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSHUA DREW WHITLEDGE (DO) uses 1871596767.
Can I rely on DR. JOSHUA DREW WHITLEDGE (DO) being an active provider?
As of the registry snapshot, DR. JOSHUA DREW WHITLEDGE (DO) is marked active.
What is DR. JOSHUA DREW WHITLEDGE (DO)'s specialty?
The listing groups DR. JOSHUA DREW WHITLEDGE (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOSHUA DREW WHITLEDGE (DO) based?
DR. JOSHUA DREW WHITLEDGE (DO) is tied to South Fulton, Tennessee in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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