Individual provider Active NPI

Andrew David White, PA-S

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1164824546
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120283 Issued in FL
Practice address
13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Phone
(941) 444-0011
Fax
(603) 952-3900
NPI assigned
Sep 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA173943 OR
Physician Assistant 363A00000X PA9120283 FL Primary

Addresses

Primary practice location

13770 Plantation Rd # 103
Fort Myers, FL 33912-4460

Mailing address

4815 Frattina St
Ave Maria, FL 34142-5121
Phone (971) 275-3741

Other practice location 1

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

Other practice location 2

1400 N US Highway 441 Ste 524
The Villages, FL 32159-8984
Phone (941) 444-0011

Other identifiers 1

IdentifierTypeStateIssuer
500698127MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20151208002986 OR Practitioner - Physician Assistant 8123329521 Reassigns benefits to 2 organizations
I20251009004711 FL Practitioner - Physician Assistant 8123329521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, shared by 4 NPIs, 28 clinicians

Practice addresses (Care Compare)

13770 Plantation Rd
Suite 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

24461 E Welches Rd
Welches, OR 97067-7067
Phone (971) 333-0494

37400 Bell St
Sandy, OR 97055-7868
Phone (971) 220-2701

535 NE 6TH Ave
Estacada, OR 97023-9312
Phone (503) 630-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120283FLMDPhysician Assistant
PA173943ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL CurrentSince Oct 1, 2025 Accepting new patients
Orchid Oakridge Clinic, PC CurrentSince Jun 1, 2025 Accepting new patients
Orchid Oakridge Clinic, P.C. Current Accepting new patients
MVP Medical Practice PC PastSince Dec 14, 2025 Accepting new patients
Valeria Health, LLC PastSince Dec 1, 2019 Accepting new patients

Locations

13770 Plantation Rd
#103
Fort Myers, FL 33912

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

1400 N US Highway 441
Ste 524
The Villages, FL 32159
Phone (352) 391-5299

535 NE 6th Ave
Estacada, OR 97023
Phone (503) 630-8550

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

24461 E Welches Rd
Welches, OR 97067
Phone (503) 622-3126

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1164824546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 FRATTINA ST",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425121",
            "telephone_number": "971-275-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD # 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061226",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N US Highway 441 Ste 524",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598984",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA173943",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500698127",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.