Ava M White, FNP C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200319 Issued in NC

Practice address

809 South Long Drive
Suite G
Rockingham, NC 28379-4375

Phone

(910) 997-3733

Fax

(910) 997-3707

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Ava M Balko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366472870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 828",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283450828",
            "telephone_number": "910-997-3733",
            "fax_number": "910-997-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SOUTH LONG DRIVE",
            "address_2": "SUITE G",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794375",
            "telephone_number": "910-997-3733",
            "fax_number": "910-997-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AVA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "200319",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000107",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "BALKO",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "FNP C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Taylor Webster, LCSW
• Thomas R Wells Jr., RPH, PHARMD
• Susan Calloway Wheeler, PTDPTPCS
• Sabrina Whitaker
• Amanda White, PHARMD
• Erin Ruth Williams-Edwards, PHARM D
• Detrice Williams
• Janna Shelley Williams
• Shelia Diana Williamson Collins, PHD, LCMHC, LCAS
• Jerry Thomas Williamson, PHARM D

• Family Nurse Practitioner in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.