DR. DOUGLAS WAYNE WHITEHEAD M.D. NPI 1881639466

NPI Information

NPI: 1881639466
Provider Name: DR. DOUGLAS WAYNE WHITEHEAD, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 101 W SAINT JOHN ST
SPARTANBURG, SC
ZIP 29306
Phone: (864) 342-7070

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NPI Details

DR. Douglas Wayne Whitehead, M.D. is a family medicine in Spartanburg, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Douglas Wayne Whitehead, M.D. NPI is 1881639466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 W SAINT JOHN ST
SPARTANBURG, SC
ZIP 29306-179
Phone: (864) 342-7070

The NPI 1881639466 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		15978	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1880582	OTHER	SOUTH CAROLINA	CIGNA ID
2	571004971012	OTHER	SOUTH CAROLINA	BCBS OF SC ID
3	159786	MEDICAID	SOUTH CAROLINA
4	5655029	OTHER	SOUTH CAROLINA	AETNA ID
5	80109539	OTHER	SOUTH CAROLINA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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