Individual provider Active NPI

Gregory P White, MD

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
National Provider Identifier
1003918897
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD0000017977 Issued in TN
Practice address
105 Lee Parkway Dr
Suite E
Chattanooga, TN 37421-6708
Phone
(423) 800-0800
Fax
(423) 402-9466
NPI assigned
Sep 2, 2006
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD0000017977 TN Primary

Addresses

Primary practice location

105 Lee Parkway Dr
Suite E
Chattanooga, TN 37421-6708

Mailing address

PO Box 28389
Chattanooga, TN 37424-8389
Phone (423) 800-0800

Other identifiers 8

IdentifierTypeStateIssuer
4063781OtherTNTENNCARE SELECT
G19483OtherTNUPIN
3095022OtherTNTENNCARE/MEDICAID
4063781OtherTNBC/BS OF TN
3095022OtherTNCIGNA MEDICARE OF TN
P00081775OtherTNRR MEDICARE
621613625001OtherTNTRICARE SOUTHERN REGION
TN0102OtherTNJOHN DEERE HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000072 TN Practitioner - Physical Medicine and Rehabilitation 6406013606 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000017977TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Alternative and Rehabilitative Services, PC Physical Medicine & Rehabilitation Past Accepting new patients
Southern Rehabilitation Group, PLLC Physical Medicine & Rehabilitation Past Accepting new patients
Chattanooga Center for Pain Medicine PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19840/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1003918897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28389",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374248389",
            "telephone_number": "423-800-0800",
            "fax_number": "423-402-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEE PARKWAY DR",
            "address_2": "SUITE E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216708",
            "telephone_number": "423-800-0800",
            "fax_number": "423-402-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD0000017977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4063781",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G19483",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE/MEDICAID",
            "identifier": "3095022",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TN",
            "identifier": "4063781",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE OF TN",
            "identifier": "3095022",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00081775",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTHERN REGION",
            "identifier": "621613625001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "TN0102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.