Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark A. Whitehead, PA-C

Individual provider Physician Assistant · NPI 1235326059

Mark A. Whitehead, PA-C is a Physician Assistant in Columbia, Tennessee. Qualified in 2007, 19 years ago. Practices with One Stop Medical LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Licensed in
TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1222 Trotwood Ave Ste 108
Columbia, TN 38401
Phone: (931) 388-8965
Fax: (931) 840-8520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence PA0000001531 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 1531 (TN)

Record details

NPI number1235326059
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2007
Last updated in NPPESFebruary 13, 2017
Mailing address326 N Locust Ave, Ste B, Lawrenceburg, TN 38464-3516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice One Stop Medical Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbia