Individual provider Active NPI

Elizabeth Anne White, PA

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1528084357
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00309 Issued in NC
Practice address
1002 N Church St
Ste 302
Greensboro, NC 27401-1439
Phone
(336) 387-8100
Fax
(336) 387-8202
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 100309 NC
Physician Assistant 363A00000X 0010-00309 NC Primary

Addresses

Primary practice location

1002 N Church St
Ste 302
Greensboro, NC 27401-1439

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-0238

Other practice location 1

5826 Samet Dr Ste 103
High Point, NC 27265-3661
Phone (336) 905-6300

Other practice location 2

4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-3926

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060114000024 NC Practitioner - Physician Assistant 5395769525 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating Corporation 724 clinicians
Alamance Regional Medical Center Inc 71 clinicians

Practice addresses (Care Compare)

1123 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-4400

1127 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7100

1236 Huffman Mill Rd
Suite 2850
Burlington, NC 27215-8700
Phone (336) 538-7482

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Suite 104
Burlington, NC 27215-8700
Phone (336) 278-9011

1319 Spero Rd
Suite 100 B
Asheboro, NC 27205-3144
Phone (336) 890-4890

1806 E Market St
Greensboro, NC 27401-3307

3711 Elmsley St
Suite 102
Greensboro, NC 27406-7039
Phone (336) 890-2200

4524 W Wendover Ave
Suite 110
Greensboro, NC 27409-9184
Phone (336) 890-3320

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

6019 W Gate City Blvd
Suite C
Greensboro, NC 27407-7020
Phone (336) 890-2660

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00309NCMDPhysician Assistant
100309NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc CurrentSince Jul 8, 2024 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Sep 15, 2014 Accepting new patients
Wake Forest University Health Sciences CurrentSince Oct 31, 2018 Accepting new patients
Cornerstone Health Care, PA CurrentSince Sep 15, 2014 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 6, 2025 Accepting new patients
High Point Regional Health CurrentSince Mar 22, 2016 Accepting new patients
Private Diagnostic Clinic, PLLC Past Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients
Central Carolina Surgery, P.a. PastSince Aug 1, 1995 Accepting new patients
Hearn Vascular Surgery PA Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

319 Westwood Ave
Uppr
High Point, NC 27262
Phone (336) 878-6419

5826 Samet Dr
Ste 103
High Point, NC 27265
Phone (336) 905-6300

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

4618 Country Club Rd
Winston Salem, NC 27104
Phone (336) 716-2768

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1528084357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "STE 302",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "336-387-8100",
            "fax_number": "336-387-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5826 Samet Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272653661",
            "country_code": "US",
            "telephone_number": "336-905-6300",
            "fax_number": "336-716-9258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4618 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271043520",
            "country_code": "US",
            "telephone_number": "336-716-3926",
            "fax_number": "336-716-9258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100309",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.