Individual provider Active NPI

Brandy N White, FNP-C

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1336704485
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000025727 Issued in TN
Practice address
130 Serral Dr
Greeneville, TN 37745-3074
Phone
(423) 278-2501
NPI assigned
May 3, 2019
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000025727 TN Primary

Addresses

Primary practice location

130 Serral Dr
Greeneville, TN 37745-3074

Mailing address

130 Serral Dr
Greeneville, TN 37745-3074
Phone (423) 278-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240729004532 NC Practitioner - Nurse Practitioner 6800127523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

617 Laurel Lake Dr
Columbus, NC 28722-7401
Phone (828) 894-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000025727TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Retirement-Life Communities, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Acts Retirement-Life Communities, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Acts Signature Community Services, Inc. Current Accepting new patients
Acts Signature Community Services, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Acts Signature Community Services, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Theoria Medical CurrentSince May 14, 2024 Accepting new patients
Abundant Healthcare Clinic LLC CurrentSince May 15, 2020 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

2101 Highway 80
Haughton, LA 71037
Phone (318) 949-5515

617 Laurel Lake Dr
Columbus, NC 28722
Phone (828) 894-3000

733 Pavilion View Dr
Matthews, NC 28105
Phone (704) 709-2538

740 Pavilion View Dr
Matthews, NC 28105
Phone (704) 845-5900

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

237 Tryon Rd
Rutherfordton, NC 28139
Phone (828) 286-7200

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

130 Serral Dr
Greeneville, TN 37745
Phone (423) 278-2501

Interoperability endpoints

  • Direct secure messaging: brandy.white.p1@direct.actslife.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/23463/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1336704485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SERRAL DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453074",
            "telephone_number": "423-278-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SERRAL DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453074",
            "telephone_number": "423-278-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BRANDY",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000025727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.