NPIMap

Individual provider Active NPI

Darryl White, M.D.

  • Family Medicine Physician
  • Fairfield, TX
National Provider Identifier
1154316974
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J0877 Issued in TX
Practice address
734 W Commerce St
Fairfield, TX 75840-1428
Phone
(956) 389-2181
Fax
(956) 389-0990
NPI assigned
Sep 19, 2005
Last updated
May 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J0877 TX Primary

Addresses

Primary practice location

734 W Commerce St
Fairfield, TX 75840-1428

Mailing address

734 W Commerce St
Fairfield, TX 75840-1428
Phone (956) 389-2181

Other identifiers 1

IdentifierTypeStateIssuer
102486101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014001203 TX Practitioner - Family Practice 5395938997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Hospital DistrictGroup PAC ID 6507149192, 20 clinicians

Practice addresses (Care Compare)

125 Newman St
Fairfield, TX 75840-1419
Phone (903) 389-2121

144 Humphreys St
Buffalo, TX 75831-7555
Phone (903) 480-0041

604 Main St
Teague, TX 75860-1628
Phone (903) 389-0926

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J0877TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Feb 13, 2017 Accepting new patients
Fairfield Hospital District Current Accepting new patients
Fairfield Hospital District CurrentSince Jan 1, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 13, 2017 Accepting new patients
Fairfield Hospital District Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Liberty County Hospital District No. 1 Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
South Limestone Hospital District Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Fairfield Hospital District Family Medicine Past Accepting new patients
Harlingen Physician Network Inc Family Medicine Past Accepting new patients
Boone Emergency Physicians PLLC Past Accepting new patients

Locations

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

734 W Commerce St
Fairfield, TX 75840
Phone (903) 389-1681

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: darryl.white.2@14618.direct.athenahealth.com
  • Direct secure messaging: fmcdwhite@yourcarecommunity.org
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/011a4a74-dd3f-4ea4-ba83-ca6efe6b6b57

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Teague Nursing and RehabilitationTeague, TX, CCN 675884 Skilled nursing facility Adp of the SNF Aug 1, 2024
Fairfield Nursing & Rehabilitation CenterFairfeild, TX, CCN 676123 Skilled nursing facility Adp of the SNF Apr 11, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1154316974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 W COMMERCE ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401428",
            "telephone_number": "956-389-2181",
            "fax_number": "956-389-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W COMMERCE ST",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401428",
            "telephone_number": "956-389-2181",
            "fax_number": "956-389-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DARRYL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102486101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, TX

Sources for this page

Verify at the official NPI Registry.