Nathaniel White

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1650 N Roberts Rd NW
Kennesaw, GA 30144-3634

Phone

(770) 686-7617

NPI assigned

Nov 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Awfm LTD Company

  • Community/Behavioral Health Agency
  • Kennesaw, GA
  • NPI 1598473019
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1679282032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 OLD POST RD UNIT 911",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301872436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N ROBERTS RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443634",
            "telephone_number": "770-686-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nathaniel-white.clientsecure.me/",
            "affiliation": "N",
            "address_1": "1650 N Roberts Rd NW",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301443634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlene Kamilah White, RN
• David Anthony White, PA-C
• Floyd White III
• Jillia White
• Laquetta Annette White, SLP
• Robin White, OTA
• Najah Whitfield, PHARMD, RPH
• Gwen Hatley Whiting, APRN MS BC
• Daniel Whitner
• Whittle Chiropractic Ctr., Inc. (The Wellpath Center)

• Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.