Active NPI
Robert E White III, PA-C
- Physician Assistant
- Seymour, TN
National Provider Identifier
1598084600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1817
- Practice address
- 10622 Chapman Hwy
Seymour, TN 37865-4703 - Phone
- (865) 579-0599
- Fax
- (865) 609-0808
- NPI assigned
- May 28, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1817 | TN | Primary |
Addresses
Primary practice location
10622 Chapman Hwy
Seymour, TN 37865-4703
Mailing address
10622 Chapman Hwy
Seymour, TN 37865-4703
Phone (865) 579-0599
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2973 | WI | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madisonville Primary Care Group PLLC | Past | Accepting new patients | |
| Wayne E. Tasker and Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba United Primary Care
- Rural Health Clinic/Center
- Madisonville, TN
- NPI 1861780496
-
- Clinical Social Worker
- Morristown, TN
- NPI 1295974319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1598084600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10622 CHAPMAN HWY",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378654703",
"telephone_number": "865-579-0599",
"fax_number": "865-609-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10622 CHAPMAN HWY",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378654703",
"telephone_number": "865-579-0599",
"fax_number": "865-609-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.