Active NPI
Allissa Marie White, MD
- Family Medicine Physician
- Altus, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34797
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200992670B | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Sunshine Home Care, Inc
- Angels Care Home Health of Oklahoma
- Jackson County Memorial Hospital Authority
- Memorial Health
- O U Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34797 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absentee Shawnee Tribal Health Authority, Inc. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Current | 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
- 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.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Multi-Specialty Clinic/Center
- Shawnee, OK
- NPI 1942253521
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
- Institutional Pharmacy
- Altus, OK
- NPI 1518028380
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1093710287
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Home Health Agency
- Tishomingo, OK
- NPI 1891116232
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- Home Health Agency
- Altus, OK
- NPI 1780646869
-
- Home Health Agency
- Allen, TX
- NPI 1851361166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.