Joshua Stephen White, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4364 Issued in TN

Practice address

4772 Navy Rd Ste a
Millington, TN 38053-1927

Phone

(901) 873-0930

Fax

(901) 873-0931

NPI assigned

Nov 24, 2020

Sex

Female

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

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

45 Urgent Care PCGroup PAC ID 8628299617, 6 clinicians

NP Enterprises, Inc.Group PAC ID 9638130164, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• NP Enterprises, Inc.

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1932139946

  W-2 Managing Employee

  CMS ownership

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.

• NP Enterprises, Inc.

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1932139946
  Medicare reassignment Care Compare group NPD (past)
• 45 Urgent Care, P.C.

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1912326539
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1689278269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-0930",
            "fax_number": "901-873-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-0930",
            "fax_number": "901-873-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6490 Memphis Arlington Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381357439",
            "country_code": "US",
            "telephone_number": "901-762-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOSHUA",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CARECLOUD",
            "affiliation": "N",
            "address_1": "4772 Navy Rd Ste A",
            "city": "Millington",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380531927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ophelia Renee Waters, CMA
• Cameron Watters
• Lindsey Webster
• West Tennessee Eye PLC
• West Tennessee Eye PLC
• Alice Whitley, M.S., R.D.
• John Wiesler, DO
• Emilie Wilkinson
• William R Ludden DMD PC
• Karen P Williams, APN

• Physician Assistant in Millington, TN
• Providers in Millington, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.