Individual provider Active NPI

John Prettyman White, M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1336148923
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101041221 Issued in VA
Practice address
4000A Glenside Dr
Richmond, VA 23228-4102
Phone
(804) 262-4763
Fax
(804) 264-9683
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0101041221 VA Primary

Addresses

Primary practice location

4000A Glenside Dr
Richmond, VA 23228-4102

Mailing address

4000A Glenside Dr
Richmond, VA 23228-4102
Phone (804) 262-4763

Other identifiers 1

IdentifierTypeStateIssuer
219054OtherVAANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100316000990 VA Practitioner - Family Practice 7416082458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF LTC Partners of VirginiaGroup PAC ID 4789014150, 28 clinicians
The Family Practice of Manakin-Sabot PCGroup PAC ID 5193624898, 3 clinicians

Practice addresses (Care Compare)

1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 543-2120

294 River Rd W
Manakin Sabot, VA 23103-3200
Phone (804) 784-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SNF LTC Partners of Virginia Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Glenside Medical Associates, LLC Family Medicine CurrentSince Nov 1, 2001 Accepting new patients
The Family Practice of Manakin-Sabot PC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients

Locations

294 River Road West
Manakin Sabot, VA 23103
Phone (803) 353-4000

4000A Glenside Dr
Richmond, VA 23228
Phone (804) 262-4763

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

1900 Lauderdale Dr
Richmond, VA 23238
Phone (804) 729-5563

Interoperability endpoints

  • Direct secure messaging: familypracticemanakinsabot.johnprettymanwhite@125418.advancedmd-direct.com

Organizations & group practices 3

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 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336148923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000A GLENSIDE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284102",
            "telephone_number": "804-262-4763",
            "fax_number": "804-264-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000A GLENSIDE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284102",
            "telephone_number": "804-262-4763",
            "fax_number": "804-264-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOHN",
        "middle_name": "PRETTYMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "219054",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.