Individual provider Active NPI

Charles Fox White Jr., M.D.

  • Urology Physician
  • Mobile, AL
National Provider Identifier
1619070018
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
00011484 Issued in AL
Practice address
168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone
(251) 433-1895
Fax
(251) 433-1917
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 00011484 AL Primary

Addresses

Primary practice location

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510

Mailing address

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Other identifiers 1

IdentifierTypeStateIssuer
000013219MedicaidAL

Other names 1

  • Charles F. White Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000525 AL Practitioner - Urology 9638067572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Alabama College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

100 Memorial Hospital Dr
Suite 1a
Mobile, AL 36608-1128
Phone (251) 433-1895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00011484ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Mobile, P.a. Urology CurrentSince Jan 1, 1987 Accepting new patients

Locations

7101 US Highway 90
Ste 203
Daphne, AL 36526
Phone (251) 665-8120

134 Hoyle Ave
Fairhope, AL 36532

1506 N McKenzie St
Ste 107
Foley, AL 36535
Phone (251) 923-0550

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

100 Memorial Hospital Dr
Ste 1A
Mobile, AL 36608
Phone (251) 343-6848

6701 Airport Blvd
Ste B135
Mobile, AL 36608
Phone (251) 633-0573

Networks

  • bcbs alabama network 01E0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01A0

Interoperability endpoints

  • Direct secure messaging: charleswhite@uam.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1619070018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHARLES",
        "middle_name": "FOX",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "00011484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000013219",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "WHITE",
            "middle_name": "F.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.