Jonathan Steven White, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003424 Issued in GA

Practice address

504 College Dr
Albany, GA 31705-2796

Phone

(229) 430-4600

NPI assigned

Jul 13, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1356827349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAC ARTHUR DR",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012338",
            "telephone_number": "518-812-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COLLEGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052796",
            "telephone_number": "229-430-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686925",
            "country_code": "US",
            "telephone_number": "229-985-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JONATHAN",
        "middle_name": "STEVEN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING",
            "identifier": "AT003424",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wetherald Behavioral Consulting, Inc
• Wetherald Behavioral Consulting, Inc
• Danielle Shiver Wetherald, BCBA
• Henry J Wheeler, CRNA
• Andrea L Whiddon, NP-C
• Kaylee D White, NP
• Mary L White, RNC-NIC, BSN
• Monica Lynn White, LCSW
• Nadea Kristan White, MD
• Santianna Nishondra White

• Athletic Trainer in Albany, GA
• Providers in Albany, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.