# MEDICAL HOME DEVELOPMENT GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902232168
- **Authorized official:** MRS. AUDREY WHETSELL MS (CEO)
- **Authorized official phone:** (843) 412-5548

## Contact information

- **Practice address:** 2112 F ST NW STE 504, WASHINGTON, DC 20037-2761
- **Practice address phone:** (202) 684-2784
- **Practice address fax:** (866) 643-9237
- **Mailing address:** 4975 LACROSS RD, SUITE 151, N CHARLESTON, SC 29406-6523
- **Mailing address phone:** (843) 412-5548
- **Mailing address fax:** (866) 643-9237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 09/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086030300 | — | DC |