Active NPI
Sallie S White, PA-C
- Physician Assistant
- Winston-Salem, NC
National Provider Identifier
1104865708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103651
- Practice address
- 1345B Westgate Center Dr
Winston-Salem, NC 27103-2934 - Phone
- (336) 768-1280
- Fax
- (336) 760-8443
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103651 | NC | Primary |
Addresses
Primary practice location
1345B Westgate Center Dr
Winston-Salem, NC 27103-2934
Mailing address
1345B Westgate Center Dr
Winston-Salem, NC 27103-2934
Phone (336) 768-1280
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103651 | NC | MD | Physician Assistant |
Interoperability endpoints
- white.sallie.002.0330038@wede.meditab.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1104865708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345B WESTGATE CENTER DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271032934",
"telephone_number": "336-768-1280",
"fax_number": "336-760-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345B WESTGATE CENTER DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271032934",
"telephone_number": "336-768-1280",
"fax_number": "336-760-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SALLIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.