Individual provider Active NPI

Rebecca White, FNP-C

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1396311015
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN246582 Issued in GA
Practice address
1350 Walton Way
Augusta, GA 30901-2612
Phone
(706) 774-5542
Fax
(706) 774-5789
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 238397 SC
Registered Nurse 163W00000X 246585 GA
Family Nurse Practitioner 363LF0000X RN246582 GA Primary

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901-2612

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221003002381 GA Practitioner - Nurse Practitioner 4183000821 Reassigns benefits to 1 organization
I20240226002420 SC Practitioner - Nurse Practitioner 4183000821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PCGroup PAC ID 4880682368, 19 clinicians

Practice addresses (Care Compare)

10263 Atomic Rd
North Augusta, SC 29841-4484
Phone (803) 279-3722

701 Greene St
Suite 200
Augusta, GA 30901-2385
Phone (706) 722-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246585GAMDRegistered Nurse
238397SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC CurrentSince Jan 7, 2024 Accepting new patients
University Critical Care Medicine LLC CurrentSince Aug 1, 2022 Accepting new patients
Umg Infectious Disease LLC CurrentSince Aug 1, 2022 Accepting new patients
Augusta Renal Physicians, P.C. PastSince Jul 15, 2020 Accepting new patients

Locations

1109 Medical Center Dr
Ste 5
Augusta, GA 30909
Phone (706) 863-6637

3660 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 210-8884

3660 J Dewey Gray Cir
#J
Augusta, GA 30909

701 Greene St
Ste 200
Augusta, GA 30901
Phone (706) 722-6900

1350 Walton Way
Fl 3
Augusta, GA 30901
Phone (706) 774-5713

1355 Independence Dr
Augusta, GA 30901
Phone (706) 724-7746

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

10263 Atomic Rd
North Augusta, SC 29841
Phone (706) 722-0186

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1396311015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-5542",
            "fax_number": "706-774-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "238397",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "246585",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN246582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.