Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Shaun Whited

Individual provider Family Nurse Practitioner · NPI 1790534378

Jeremy Shaun Whited is a Nurse Practitioner in Chilhowie, Virginia. Qualified in 2024, 2 years ago. Practices with Universal Health Corporation, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
2
Licensed in
TN, VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

940 E Lee Hwy
Chilhowie, VA 24319-3237
Phone: (276) 880-5629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3815 Highway 66 S, Rogersville, TN 37857-5196 — (423) 817-3542

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024190211 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 36403 (TN)

Record details

NPI number1790534378
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Universal Health Corporation — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chilhowie