Kerry Whitaker, P.A.
NPI 1164405114 · Physician Assistant · Orlando, FL
Kerry Whitaker, P.A. is a Physician Assistant provider in Orlando, FL (NPI 1164405114).
Provider details
- NPI number
- 1164405114
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- PA 484 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$202 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 200 San Sebastian VwSaint Augustine, FL 32084-8695Phone: (904) 209-3250Fax: (904) 825-6875
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2018-04-25
Frequently asked questions
- What is Kerry Whitaker's NPI number?
- Kerry Whitaker's National Provider Identifier (NPI) is 1164405114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Whitaker's specialty?
- Kerry Whitaker is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kerry Whitaker located?
- Kerry Whitaker's practice location on file with NPPES is 20 W. Kaley Street, Orlando, FL 32806-2931.
- What is Kerry Whitaker's phone number?
- The practice phone number listed in the NPPES registry for Kerry Whitaker is (407) 423-2581.
- Is Kerry Whitaker's NPI active?
- Yes — Kerry Whitaker's NPI (1164405114) is active in the NPPES registry as of the last update on 2018-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.