Individual provider Active NPI

Jodian White

  • Family Nurse Practitioner
  • Tyrone, GA
National Provider Identifier
1104299981
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN198115 Issued in GA
Practice address
1528 Joel Cowan Pkwy
Tyrone, GA 30290
Phone
(678) 335-4116
Fax
(833) 973-4637
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN198115 GA Primary

Addresses

Primary practice location

1528 Joel Cowan Pkwy
Tyrone, GA 30290

Mailing address

1528 Joel Cowan Pkwy
Tyrone, GA 30290
Phone (678) 335-4116

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151230001502 GA Practitioner - Nurse Practitioner 6709188253 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

764 Memorial Dr SE
Suite 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Aug 1, 2024 Accepting new patients
MC Medical LLC Current Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

Interoperability endpoints

  • Direct secure messaging: jodian.white.1@33029.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1104299981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 JOEL COWAN PKWY",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "30290",
            "telephone_number": "678-335-4116",
            "fax_number": "833-973-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 JOEL COWAN PKWY",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "30290",
            "telephone_number": "678-335-4116",
            "fax_number": "833-973-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JODIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN198115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

Verify at the official NPI Registry.