Active NPI
Courtney White
- Student in an Organized Health Care Education/Training Program
- Savannah, GA
National Provider Identifier
1508599002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11705 Mercy Blvd
Savannah, GA 31419-1791 - Phone
- (912) 819-4100
- NPI assigned
- Jul 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
11705 Mercy Blvd
Savannah, GA 31419-1791
Mailing address
401 Buckhalter Rd
Savannah, GA 31405-6113
Phone (912) 258-1022
Other names 1
- Wade White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656806400000",
"number": "1508599002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BUCKHALTER RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056113",
"telephone_number": "912-258-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 MERCY BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191791",
"telephone_number": "912-819-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-03",
"last_updated": "2022-07-03",
"certification_date": "2022-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WADE",
"last_name": "WHITE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.