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

Willie Roscoe Whitaker, MD

Individual provider Internal Medicine Physician · NPI 1861489759

Willie Roscoe Whitaker, MD is a Nephrology in Statesville, North Carolina. Graduated from Duke University School of Medicine in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
50
Trained at
Duke University School of Medicine
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2117 Simonton Rd Ste 102
Statesville, NC 28625-8403
Phone: (704) 872-8422
Fax: (704) 872-8705
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2003-00428 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence NC2003-00428 (NC)

Record details

NPI number1861489759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2005
Last updated in NPPESMarch 21, 2014

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Statesville