Shawn L White, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J8836 Issued in TX

Practice address

215 Chisholm TRL
Jacksboro, TX 76458-1403

Phone

(940) 567-6633

Fax

(940) 567-2895

NPI assigned

Jul 18, 2006

Last updated

Nov 8, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Independent Physicians Group IncGroup PAC ID 3375819535, 39 clinicians

Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

Jack County Hospital DistrictGroup PAC ID 5890768675, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Denton Hospital, Denton, TX, CCN 450634
• North Texas Medical Center Hospital, Gainesville, TX, CCN 450090

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawn.white.1@26154.direct.athenahealth.com
• Direct secure messaging: shawn.white@4668404203524.direct.elationemr.com
• Direct secure messaging: swhite@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jack County Hospital District

  dba Faith Community Hospital

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Premier Independent Physicians Group, Inc.

  • Family Medicine Physician
  • Denton, TX
  • NPI 1437676640
  Medicare reassignment Care Compare group NPD
• Integritas Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Carbondale, IL
  • NPI 1790128817
  Medicare reassignment Care Compare group NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Gainesville Community Hospital, Inc.

  dba NTMC Health Complete Care

  • Rural Health Clinic/Center
  • Gainesville, TX
  • NPI 1033687900
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD
• Gainesville Community Hospital, Inc.

  dba NTMC Specialty Group

  • General Practice Physician
  • Gainesville, TX
  • NPI 1942778816
  NPD
• Jack County Hospital District

  • Rural Acute Care Hospital
  • Bowie, TX
  • NPI 1982460705
  NPD
• Leeroy McCurley MD PA

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1588795652
  NPD
• North Texas Arrhythmia Associates PA

  • Clinical Cardiac Electrophysiology Physician
  • Denton, TX
  • NPI 1437480829
  NPD (past)
• Pilot Point Family Practice Management Inc.

  • Family Medicine Physician
  • Pilot Point, TX
  • NPI 1447617741
  NPD (past)
• Steve Longacre M.D. PA

  • Emergency Medicine Physician
  • Bridgeport, TX
  • NPI 1609015072
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Denton Subsidiary LP

  dba Medical City Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Gainesville Community Hospital, Inc.

  dba North Texas Medical Center

  • General Acute Care Hospital
  • Gainesville, TX
  • NPI 1972071991
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1396764767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CHISHOLM TRL",
            "city": "JACKSBORO",
            "state": "TX",
            "postal_code": "764581403",
            "telephone_number": "940-567-6633",
            "fax_number": "940-567-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CHISHOLM TRL",
            "city": "JACKSBORO",
            "state": "TX",
            "postal_code": "764581403",
            "telephone_number": "940-567-6633",
            "fax_number": "940-567-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHAWN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930052226",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Stottlemyre, FNP-C
• Sushil B. Chokshi, M.D., P.a.
• Taylor Medical PLLC
• Heather Elaine Vaughn, FNP
• Madison Wellman
• Alexus Williams, APRN-CNP
• Debbie Lynn Young, FNP

• Family Medicine Physician in Jacksboro, TX
• Providers in Jacksboro, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.