Angela J White, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-074021 Issued in AL

Practice address

5009 Riverchase Dr
Suite 500
Phenix City, AL 36867-7490

Phone

(334) 448-9505

Fax

(334) 448-9575

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

The Nexus Pain Center of Columbus LLCGroup PAC ID 8426050246, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14489/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/2146/brand/1/csg/1/fhir/r4

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.

• The Nexus Pain Center of Columbus LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, GA
  • NPI 1942359906
  Medicare reassignment Care Compare group NPD
• Home Physician Care, LLC

  • General Practice Physician
  • Buford, GA
  • NPI 1003047184

  Family

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment
• Georgialina Physical Therapy Associates LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1114277944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR",
            "address_2": "SUITE 500",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677490",
            "telephone_number": "334-448-9505",
            "fax_number": "334-448-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR",
            "address_2": "SUITE 500",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677490",
            "telephone_number": "334-448-9505",
            "fax_number": "334-448-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-074021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALABAMA NURSE PRACTITIONER LICENSE",
            "identifier": "1-074021",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Ward
• Katrina Washington
• Debbie Watford
• We Have a Purpose Inc
• Tremekia Lashae Weston, RBT
• Asia Monique White
• Jackie White, LPC
• Jennifer Marie Widener, MCD, CCC-SLP
• Ariel Lynn Willette
• William R. Jordan, M.D., LLC

• Family Nurse Practitioner in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.

Verify at the official NPI Registry.