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Active NPI 1235326059 Individual Practitioner Male Practitioner

Mark A. Whitehead , PA-C

Pediatrics • Columbia, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Whitehead, PA-C is a certified Pediatrics practicing in Columbia, TN. With approximately 19 years of clinical experience since completing medical education in 2007, Mark Whitehead delivers high-quality medical care to the local community at 1222 TROTWOOD AVE..

Mark Whitehead is affiliated with One Stop Medical Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1222 Trotwood Ave.
Ste 108

Columbia, TN 38401

Telephone 9313888965
Fax 9318408520
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Columbia, TN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs Matches City Avg
City Avg: 19.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Columbia, TN (1299 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whitehead (19 Years) 19 Yrs
Columbia Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
14 12 $72.86 $35.33

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TN PA0000001531

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TN 1531

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1501347 (TN)

Hospital & Practice Group Affiliations

One Stop Medical Llc

326 N Locust Ave, Lawrenceburg, TN 384643516

Phone: 9317629797

One Stop Medical Llc

202 Joe Ave, Hohenwald, TN 384622002

Phone: 9317969797

One Stop Medical Llc

912 W College St, Pulaski, TN 384783630

Phone: 9314249797

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Lori Duncan

Nurse Practitioner - Pediatrics

NPI 1043320609
NPI 1053521401

Doctor of Medicine (M.D.)

NPI 1093825655

Doctor of Medicine (M.D.)

Deanna Perkins

Counselor - Mental Health

NPI 1144811639
NPI 1164532651

Doctor of Medicine (M.D.)

NPI 1174633754

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 13, 2017

Registered at 326 N LOCUST AVE, STE B, LAWRENCEBURG, TN 384643516 (Tel: 9317629797)

📍
Updated Practice Location February 13, 2017

Registered at 1222 TROTWOOD AVE., STE 108, COLUMBIA, TN 38401 (Tel: 9313888965)

👤
Provider Name / Credentials Updated February 13, 2017

Recorded as MARK WHITEHEAD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Pediatrics (License #PA0000001531 in TN)

NPI Profile Active March 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2011

Registered at 1222 TROTWOOD AVE., STE 108, COLUMBIA, TN 38401 (Tel: 9313888965)

📍
Updated Business Mailing Address March 11, 2011

Registered at 1222 TROTWOOD AVE., STE 101, COLUMBIA, TN 38401 (Tel: 9313888965)

👤
Provider Name / Credentials Updated March 11, 2011

Recorded as MARK WHITEHEAD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2011

Pediatrics (License #PA0000001531 in TN)

🟢
Initial NPI Registration & Enumeration September 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235326059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2007
Last Update: February 13, 2017
Sole Proprietor: No

Mailing Address

326 N Locust Ave, Ste B

Lawrenceburg, TN 384643516

Phone: 9317629797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.