Active NPI
Sheena White, MS, MMSC-PA
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1134433691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 490 Bill Kennedy Way SE
Atlanta, GA 30316-6835 - Phone
- (404) 446-4726
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATH.200124 | LA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
490 Bill Kennedy Way SE
Atlanta, GA 30316-6835
Mailing address
490 Bill Kennedy Way SE
Atlanta, GA 30316-6835
Phone (404) 446-4726
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATH.200124 | LA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intown Pediatric and Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1457375073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1134433691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 BILL KENNEDY WAY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303166835",
"telephone_number": "404-446-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 BILL KENNEDY WAY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303166835",
"telephone_number": "404-446-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SHEENA",
"credential": "MS, MMSC-PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.200124",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.