Active NPI
Tavorris D. White, MS
- Professional Counselor
- Macon, GA
National Provider Identifier
1033476668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 009771
- Practice address
- 6601 Zebulon Rd
Macon, GA 31220-7606 - Phone
- (478) 477-3383
- Fax
- (478) 475-9492
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Professional Counselor | 101YP2500X | 009771 | GA | Primary |
Addresses
Primary practice location
6601 Zebulon Rd
Macon, GA 31220-7606
Mailing address
6601 Zebulon Rd
Macon, GA 31220-7606
Phone (478) 477-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009771 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering Therapeutic Solutions | Current | Accepting new patients | |
| Hephzibah Childrens Home | Past | Accepting new patients |
Interoperability endpoints
- georgiabehavioralhealthprofessionals.tavorriswhite@124220.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Macon, GA
- NPI 1144802653
-
- Mental Health Counselor
- Macon, GA
- NPI 1083054514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1033476668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 ZEBULON RD",
"city": "MACON",
"state": "GA",
"postal_code": "312207606",
"telephone_number": "478-477-3383",
"fax_number": "478-475-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 ZEBULON RD",
"city": "MACON",
"state": "GA",
"postal_code": "312207606",
"telephone_number": "478-477-3383",
"fax_number": "478-475-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TAVORRIS",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "009771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.