Active NPI
Jodian White
- Family Nurse Practitioner
- Tyrone, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN198115
- 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
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 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Healthcare PC | Current | Accepting new patients | |
| MC Medical LLC | Current | Accepting new patients | |
| Allcare Ga PC | Current | Accepting new patients | |
| Alex E. Rikhter, MD P.C. | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | 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
- 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.
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dba Matrix Medical Network
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GA
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- NPI 1447520333
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1871939751
-
- General Practice Physician
- Dallas, GA
- NPI 1356907695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.