NPIMap

Organization Active NPI

White's Pediatrics

  • Pediatrics Physician
  • Dalton, GA
National Provider Identifier
1104005594
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
022667 Issued in GA
Legal business name
WHITE'S PEDIATRICS
Practice address
1575 Chattanooga Ave
Suite 1
Dalton, GA 30720-2671
Phone
(706) 876-2131
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mendy Harbour
Title
Billing Manager
Phone
(706) 876-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 022667 GA Primary

Addresses

Primary practice location

1575 Chattanooga Ave
Suite 1
Dalton, GA 30720-2671

Mailing address

1575 Chattanooga Ave
Suite 1
Dalton, GA 30720-2671
Phone (706) 876-2131

National Provider Directory

National Provider Directory

Locations

105 Laurel Creek Rd SE
Ste 1
Calhoun, GA 30701
Phone (706) 749-4810

925 N 3rd Ave
Chatsworth, GA 30705

1575 Chattanooga Ave
Ste 1
Dalton, GA 30720
Phone (706) 876-2130

1575 Chattanooga Ave
Ste 4
Dalton, GA 30720
Phone (423) 421-6028

Interoperability endpoints

  • Direct secure messaging: beverly.jordan1@gadirect.net
  • Direct secure messaging: carey.bramlett1@gadirect.net
  • Direct secure messaging: dawn.hancock1@gadirect.net
  • Direct secure messaging: eric@whitespediatrics.medinformatixdirect.com
  • Direct secure messaging: kathy.schleier2@gadirect.net
  • Direct secure messaging: laura.brown@whitespediatrics.gadirect.net
  • Direct secure messaging: merle.milburn1@gadirect.net
  • Direct secure messaging: patricia.barrett@gadirect.net
  • Direct secure messaging: regina.rogers2@gadirect.net
  • Direct secure messaging: ronald.tull1@gadirect.net

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1104005594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVE",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202671",
            "telephone_number": "706-876-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVE",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202671",
            "telephone_number": "706-876-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE'S PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-876-2179"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "022667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.