Active NPI
Blaise Marcus White, PA-A
- Anesthesiologist Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 677 Church St NE
Marietta, GA 30060-1101 - Phone
- (770) 794-0477
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
4047 Thessa CV NE
Roswell, GA 30075-5750
Phone (678) 698-2111
Other practice location 1
146 Bill Carruth Pkwy
Hiram, GA 30141-3749
Phone (770) 794-0477
Other practice location 2
2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (770) 794-0477
Other practice location 3
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 794-0477
Other practice location 4
531 Roselane St NW
Suite 830
Marietta, GA 30060-6913
Phone (770) 793-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 351-1745
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008172 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Georgia Anesthesiologists, PC | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
146 Bill Carruth Pkwy
Hiram, GA 30141
Phone (770) 443-4775
531 Roselane St NW
Ste 830
Marietta, GA 30060
Phone (770) 658-9739
2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Woodstock, GA
- NPI 1740299197
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1437501889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4047 THESSA CV NE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300755750",
"telephone_number": "678-698-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-794-0477"
}
],
"practiceLocations": [
{
"address_1": "146 Bill Carruth Pkwy",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301413749",
"country_code": "US",
"telephone_number": "770-794-0477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2540 Windy Hill Rd SE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678605",
"country_code": "US",
"telephone_number": "770-794-0477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8954 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301342272",
"country_code": "US",
"telephone_number": "770-794-0477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "531 Roselane St NW",
"address_2": "Suite 830",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300606913",
"country_code": "US",
"telephone_number": "770-793-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "BLAISE",
"middle_name": "MARCUS",
"name_prefix": "Mr.",
"credential": "PA-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.