Active NPI
Nikki White
- Counselor
- Conyers, GA
National Provider Identifier
1518380195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3035 Orchard Rd SW
Conyers, GA 30094-3905 - Phone
- (334) 590-3274
- NPI assigned
- Feb 2, 2014
- Last updated
- May 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Pastoral Counselor | 101YP1600X | AL |
Addresses
Primary practice location
3035 Orchard Rd SW
Conyers, GA 30094-3905
Mailing address
4494 Dickson Rd
Greenwood, FL 32443-2401
Phone (334) 590-3274
Other practice location 1
2711 W 15th St
Panama City, FL 32401-1366
Phone (850) 769-6001
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": "1391299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715385600000",
"number": "1518380195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 DICKSON RD",
"city": "GREENWOOD",
"state": "FL",
"postal_code": "324432401",
"telephone_number": "334-590-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 ORCHARD RD SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943905",
"telephone_number": "334-590-3274"
}
],
"practiceLocations": [
{
"address_1": "2711 W 15th St",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324011366",
"country_code": "US",
"telephone_number": "850-769-6001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "NIKKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-02",
"last_updated": "2024-05-11",
"certification_date": "2024-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.