Melissa Anne White, ARNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN159091 Issued in GA

Practice address

701 Charles Gilman Jr Ave Ste B
Kingsland, GA 31548

Phone

(912) 729-8942

NPI assigned

Nov 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Camden County Commissioner of

  • Clinic/Center
  • Kingsland, GA
  • NPI 1831598135
  Medicare reassignment NPD
• Camden County Commissioner of

  • Land Ambulance
  • Kingsland, GA
  • NPI 1093782732
  NPD

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1053649657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CHARLES GILMAN JR AVE STE B",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485662",
            "telephone_number": "912-729-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHARLES GILMAN JR AVE STE B",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-729-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9229224",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN159091",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN159091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00991580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johndrell S. Walker, C.N.A/M.A.
• Dorilynn Hatchcock Wallach, LPN
• Bryan Charles Weatherspoon, M.D.
• Anthony Arthur Weaver, O.D.
• Well Adjusted Chiropractic, Inc.
• Audra Whiting, LPN
• Barbara Williams
• Kelvin Tyrone Williams Sr.
• Willis R Keene MD PC
• Wright Eye Care, P.C.

• Primary Care Nurse Practitioner in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.

Verify at the official NPI Registry.