Paul King White, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

066672 Issued in GA

Practice address

165 N Park TRL Ste 100
Stockbridge, GA 30281-6509

Phone

(770) 506-1800

Fax

(770) 389-4461

NPI assigned

Apr 21, 2010

Sex

Male

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8922/brand/1/csg/1/fhir/r4
• Direct secure messaging: paul.white.3@8922.direct.athenahealth.com
• Direct secure messaging: paul.white.5@8922.direct.athenahealth.com
• Direct secure messaging: paul.white.2@8922.direct.athenahealth.com
• Direct secure messaging: paul.white.4@8922.direct.athenahealth.com
• Direct secure messaging: paul.white.1@8922.direct.athenahealth.com

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.

• Medici Medical Arts

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kennesaw, GA
  • NPI 1366842494
  Medicare reassignment NPD
• Medici Surgical Center Gwinnett, LLC

  • Ambulatory Surgical Clinic/Center
  • Snellville, GA
  • NPI 1699395541
  NPD (past)
• Medici Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1952814352
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1225355993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816509",
            "telephone_number": "770-506-1800",
            "fax_number": "770-389-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816509",
            "telephone_number": "770-506-1800",
            "fax_number": "770-389-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PAUL",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "066672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149249A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Westbrook
• Julie K Whitdford
• Tonetta White Atley, CCMA,CPT
• Diamond White
• Kimberly Denise White, PHARMD
• Victoria White
• Yakeissa Shonta White
• Tamica Michelle Whiten, AGACNP-BC, FNP-BC
• Stephanie Whittick
• Whole Being Healthcare, LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.