Dustin Hunter White

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004176 Issued in GA

Practice address

300 Sunset Cir
Moultrie, GA 31768-6934

Phone

(229) 985-2080

Fax

(229) 890-3397

NPI assigned

Apr 13, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Moultrie, GA
  • NPI 1528024387
  NPD (past)

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1356960082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUNSET CIR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686934",
            "telephone_number": "229-985-2080",
            "fax_number": "229-890-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUNSET CIR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686934",
            "telephone_number": "229-985-2080",
            "fax_number": "229-890-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 S Hansell St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925556",
            "country_code": "US",
            "telephone_number": "229-227-0800",
            "fax_number": "229-227-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DUSTIN",
        "middle_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Mercer Ward, MSN, FNP-C
• April Monika Washington, NURSE PRACTITIONER
• Woodwin Michael Weeks, DO
• Marcus Reed Wells, PT
• Patricia G Wells, PT
• Carol Cate Whitley, FNP-C
• W Winston Wilfong, M.D.
• Heather Wilkes, FNP-C
• William C Byrd Inc
• William C Byrd Inc

• Physical Therapy Assistant in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.