Individual provider Active NPI

James Eugene White, M.D., F.A.C.S.

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1114922473
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
023447 Issued in TN
Practice address
7446 Shallowford Rd
Suite 205
Chattanooga, TN 37421-8815
Phone
(423) 648-4011
Fax
(423) 648-4014
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 023447 TN Primary

Addresses

Primary practice location

7446 Shallowford Rd
Suite 205
Chattanooga, TN 37421-8815

Mailing address

7446 Shallowford Rd
Suite 205
Chattanooga, TN 37421-8815
Phone (423) 648-4011

Other identifiers 1

IdentifierTypeStateIssuer
3890242MedicaidTN

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023447TNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1114922473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 SHALLOWFORD RD",
            "address_2": "SUITE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218815",
            "telephone_number": "423-648-4011",
            "fax_number": "423-648-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7446 SHALLOWFORD RD",
            "address_2": "SUITE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218815",
            "telephone_number": "423-648-4011",
            "fax_number": "423-648-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "EUGENE",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "023447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3890242",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.