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Export Provider Record NPI 1194139337
Jordan Stuart WhatleyM.D.
Active
NPI Number1194139337
NPI TypeNPI-1 Individual
SpecialtyPediatrics, Pediatric Gastroenterology
Provider Details
NPI1194139337
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-06-16
Last Updated2020-09-15
Mailing AddressPo Box 751461
Charlotte, NC 28275-1461
United States
Phone: (843) 792-6200
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Primary Practice Address2250 Mall Dr
North Charleston, SC 29406-6563
United States
Phone: (843) 876-0444 | Fax: (310) 206-0203
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – PediatricsMI4301105294
No2080P0206X – Pediatrics, Pediatric GastroenterologyCAA148950
Yes2080P0206X – Pediatrics, Pediatric GastroenterologySC84088
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About NPI 1194139337

Jordan Stuart Whatley M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1194139337. The primary specialty listed is Pediatrics, Pediatric Gastroenterology. The provider is located in North Charleston, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1194139337?

NPI 1194139337 belongs to Jordan Stuart Whatley M.D., a Pediatrics, Pediatric Gastroenterology in North Charleston, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1194139337 active?

The current status of NPI 1194139337 in the NPPES registry is Active. The record was last updated on 2020-09-15.

What specialty is NPI 1194139337?

NPI 1194139337 is classified under the taxonomy Pediatrics, Pediatric Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1194139337?

You can verify NPI 1194139337 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1194139337?

The primary practice address on file for NPI 1194139337 is 2250 Mall Dr, North Charleston, SC 29406-6563. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1194139337 issued?

NPI 1194139337 was first issued (enumerated) on 2014-06-16. The NPPES record was last updated on 2020-09-15.

Practice Location Map

Jordan Stuart Whatley is located at 2250 Mall Dr, North Charleston, SC. Use the map below to find directions or verify the practice location.

📍 2250 Mall Dr, North Charleston, SC 29406-6563  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jordan Stuart Whatley. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1194139337. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics4301105294MI
Pediatrics, Pediatric GastroenterologyA148950CA
Pediatrics, Pediatric Gastroenterology84088SC
Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162