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

Kellie Whitener

Individual provider Family Nurse Practitioner · NPI 1093301855

Kellie Whitener is a Nurse Practitioner in Statesboro, Georgia. Qualified in 2018, 8 years ago. Practices with Family Health Care Center, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2020

Practice location Address checks out

23702 Hwy 80 E
Statesboro, GA 30461-0845
Phone: (912) 489-4090
Fax: (912) 764-5028
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN213296 (GA)

Record details

NPI number1093301855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address23702 Hwy 80 E, Statesboro, GA 30461-0845

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Health Care Center, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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