Individual provider Active NPI

Allissa Marie White, MD

  • Family Medicine Physician
  • Altus, OK
National Provider Identifier
1043877756
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34797 Issued in OK
Practice address
205 S Park LN
Altus, OK 73521-5755
Phone
(580) 379-6700
Fax
(580) 379-6704
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34797 OK Primary

Addresses

Primary practice location

205 S Park LN
Altus, OK 73521-5755

Mailing address

1200 E Pecan St
Altus, OK 73521-6141
Phone (580) 379-5000

Other identifiers 1

IdentifierTypeStateIssuer
200992670BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AllissaWhite@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210831003812 OK Practitioner - Family Practice 1557696952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians

Practice addresses (Care Compare)

319 E Josephine Ave
Frederick, OK 73542-2220
Phone (580) 335-7545

Hospital & facility affiliations

  • Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
  • Sunshine Home Care, Inc Home health agency, Altus, OK, CCN 377487
  • Angels Care Home Health of Oklahoma Home health agency, Oklahoma City, OK, CCN 377447
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34797OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Nov 28, 2022 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Nov 28, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients

Locations

205 S Park Ln
Altus, OK 73521
Phone (580) 379-6650

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

319 E Josephine Ave
Frederick, OK 73542
Phone (580) 335-7545

3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

15702 E State Highway 9
Norman, OK 73026
Phone (405) 447-0300

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

3500 NW 56th St
Oklahoma City, OK 73112
Phone (405) 271-9500

3500 NW 56th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 951-2855

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

Interoperability endpoints

  • Direct secure messaging: allissawhite@direct.jcmh.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1043877756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216141",
            "telephone_number": "580-379-5000",
            "fax_number": "580-379-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215755",
            "telephone_number": "580-379-6700",
            "fax_number": "580-379-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALLISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "34797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200992670B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AllissaWhite@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "205 S Park Ln",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735215755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.