Individual provider Active NPI

Andrew Oliver White, M.D.

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1295769768
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00026850 Issued in AL
Practice address
1302 South Broad Street
Scottsboro, AL 35768-2514
Phone
(256) 218-4080
Fax
(256) 218-3147
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 00026850 AL Primary

Addresses

Primary practice location

1302 South Broad Street
Scottsboro, AL 35768-2514

Mailing address

1302 South Broad Street
Scottsboro, AL 35768-2514
Phone (256) 218-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20060918000491 AL Practitioner - Family PracticePractitioner - Emergency Medicine 9335144740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scottsboro Family Physicians PCGroup PAC ID 4789773508, 4 clinicians

Practice addresses (Care Compare)

1302 S Broad St
Scottsboro, AL 35768-2605
Phone (256) 609-1077

Hospital & facility affiliations

  • Highlands Home Health Home health agency, Scottsboro, AL, CCN 017104
  • Southerncare New Beacon Scottsboro Hospice, Scottsboro, AL, CCN 011512
  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions128
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026850ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsboro Family Physicians PC Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Scottsboro Family Physicians PC CurrentSince Oct 1, 2007 Accepting new patients

Locations

1302 S Broad St
Scottsboro, AL 35768
Phone (256) 218-4080

42950 US Highway 72
Ste 301
Stevenson, AL 35772
Phone (256) 437-1020

Interoperability endpoints

  • Direct secure messaging: andrew.white.1@29630.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Stevenson Family CareStevenson, AL, CCN 018938 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (50%)
Aug 6, 2007
Aug 6, 2007

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1295769768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SOUTH BROAD STREET",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682514",
            "telephone_number": "256-218-4080",
            "fax_number": "256-218-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SOUTH BROAD STREET",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682514",
            "telephone_number": "256-218-4080",
            "fax_number": "256-218-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANDREW",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00026850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.