Yakeissa Shonta White

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CO26618 Issued in GA

Practice address

747 Davis Rd Ste 200
Stockbridge, GA 30281-3015

Phone

(404) 808-5672

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1619798972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 DAVIS RD STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813015",
            "telephone_number": "404-808-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 DAVIS RD STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813015",
            "telephone_number": "404-808-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "YAKEISSA",
        "middle_name": "SHONTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "CO26618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonetta White Atley, CCMA,CPT
• Diamond White
• Kimberly Denise White, PHARMD
• Paul King White, M.D.
• Victoria White
• Tamica Michelle Whiten, AGACNP-BC, FNP-BC
• Stephanie Whittick
• Whole Being Healthcare, LLC
• Whole Mind & Heart Psychotherapy LLC
• Ronald Douglas Wichman, MD

• Customized Equipment (DME) in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.