Active NPI
John Noland White Jr., PHD
- Psychologist
- Milledgeville, GA
National Provider Identifier
1083854426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002787
- Practice address
- 700 W Thomas St
Milledgeville, GA 31061-2672 - Phone
- (478) 251-0142
- Fax
- (478) 968-2900
- NPI assigned
- Feb 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002787 | GA | Primary |
Addresses
Primary practice location
700 W Thomas St
Milledgeville, GA 31061-2672
Mailing address
201 Butler Rd SE
Milledgeville, GA 31061-9221
Phone (478) 251-0142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY002787 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002787 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1083854426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BUTLER RD SE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310619221",
"telephone_number": "478-251-0142",
"fax_number": "478-454-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W THOMAS ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310612672",
"telephone_number": "478-251-0142",
"fax_number": "478-968-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JOHN",
"middle_name": "NOLAND",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-25",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PSY002787",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.