Courtney Dallas White, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103974 Issued in NC

Practice address

13251 Falls of Neuse Rd Ste 121
Raleigh, NC 27614-8573

Phone

(919) 785-5055

Fax

(919) 573-6689

NPI assigned

Jan 25, 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 names 1

• Ms. Courtney Dallas Former name

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Carolina Neuropsychiatry PAGroup PAC ID 4789643982, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• North Carolina Neuropsychiatry, P.a.

  • Child & Adolescent Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1265403042
  Medicare reassignment Care Compare group
• North Carolina Neuropsychiatry, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1003432121
  NPD (past)
• North Carolina Therapy Professionals, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1386393775
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1396715033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 FALLS OF NEUSE RD STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148573",
            "telephone_number": "919-785-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 FALLS OF NEUSE RD STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148573",
            "telephone_number": "919-785-5055",
            "fax_number": "919-573-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10880 Durant Rd",
            "address_2": "Ste 124",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276146628",
            "country_code": "US",
            "telephone_number": "919-800-2442",
            "fax_number": "919-800-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "COURTNEY",
        "middle_name": "DALLAS",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DALLAS",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis White
• Anna Varley White, PA-C, MPH
• Anne Kittredge White, LCSWA
• Brynn White
• Courtney Blythe Walters White, LCMHCS, CCMHC, NCC
• Dale E. White, PA
• David Cloid White, MD
• Davizha White, MSW, LCSWA
• Ebony Diane White
• Eddie Vernon White, C.P.

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.