MEDICARE: REJOHN WHITEHEAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1902756406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REJOHN WHITEHEAD

Provider Business Mailing Address
First Line	:	355 CRAWFORD ST STE 600B
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-2823
Country	:	US
Telephone Number	:	757-300-8491
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 CRAWFORD ST STE 600B
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-2823
Country	:	US
Telephone Number	:	757-300-8491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ REJOHN WHITEHEAD ” Practice Location

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