Active NPI
Victoria Yalonda Warner-White, M.D.
- Pediatrics Physician
- Saint Marys, GA
National Provider Identifier
1386798312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 039504
- Practice address
- 2040 Dan Proctor Dr
Suite #230
Saint Marys, GA 31558-3811 - Phone
- (912) 576-6464
- Fax
- (912) 576-6460
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 039504 | GA | Primary |
Addresses
Primary practice location
2040 Dan Proctor Dr
Suite #230
Saint Marys, GA 31558-3811
Mailing address
2040 Dan Proctor Dr
Suite #230
Saint Marys, GA 31558-3811
Phone (912) 576-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039504 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients |
Locations
201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
GA, Pediatrics
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
dba Southeast Georgia Health System - Camden Campus
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1386798312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 DAN PROCTOR DR",
"address_2": "SUITE #230",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583811",
"telephone_number": "912-576-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 DAN PROCTOR DR",
"address_2": "SUITE #230",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583811",
"telephone_number": "912-576-6464",
"fax_number": "912-576-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER-WHITE",
"first_name": "VICTORIA",
"middle_name": "YALONDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "039504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.