Active NPI
John Maxwell White Jr., M.D.
- Urology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 69973
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- NPI assigned
- Jun 27, 2006
- Last updated
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 69973 | TN | Primary |
| Urology Physician | 208800000X | 35C.001118 | OH | |
| Urology Physician | 208800000X | 028233 | GA | |
| Urology Physician | 208800000X | 4301516579 | MI | |
| Urology Physician | 208800000X | MD61499859 | WA |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-3455
Other practice location 2
2202 N John B Dennis Hwy Ste 310
Kingsport, TN 37660-5904
Phone (423) 246-4155
Other practice location 3
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000
Other practice location 4
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Other practice location 5
272 Hospital Rd Ste 260
Chillicothe, OH 45601-9031
Phone (740) 779-4370
Other practice location 6
220 J L White Dr Ste 110
Jasper, GA 30143-4894
Phone (706) 299-2250
Other practice location 7
275 Collier Rd NW
Suite 400
Atlanta, GA 30309-1709
Phone (404) 605-4848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208282 | Other | GA | BLUE CROSS BLUE SHIELD |
| P00019582 | Other | RAILROAD MEDICARE | |
| 000328237E | Medicaid | GA |
Other names 1
- J Maxwell White Jr.
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwhite3672394@epic00.corewelldirect.org | ||
| Direct Messaging Address | adena.urology@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, WA, OH, NV, MT, MI, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Emory University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
2605 Kentucky Ave
Suite 304
Paducah, KY 42003-3802
Phone (270) 575-4555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| Carson Tahoe Physician Clinics | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Adena Medical Group LLC | Urology | Current | Accepting new patients |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| CTH Physicians Clinic | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2605 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 575-4555
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
815 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 982-4272
2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
1425 Vista Ln
Carson City, NV 89703
Phone (775) 885-0198
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
272 Hospital Rd
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370
272 Hospital Rd
Ste 6
Chillicothe, OH 45601
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- jwhite1176104@direct.osumc.edu
- jwhite2885952@epic00.corewelldirect.org
- jwhite45876@skagit.direct-ci.com
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1023265717
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba St Vincent Healthcare
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1306533732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1689601379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-1121"
}
],
"practiceLocations": [
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-983-3455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2202 N John B Dennis Hwy Ste 310",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376605904",
"country_code": "US",
"telephone_number": "423-246-4155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "947-521-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "272 Hospital Rd Ste 260",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "740-779-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 J L White Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "GA",
"postal_code": "301434894",
"country_code": "US",
"telephone_number": "706-299-2250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Collier Rd NW",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091709",
"country_code": "US",
"telephone_number": "404-605-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "JOHN",
"middle_name": "MAXWELL",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "69973",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35C.001118",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "028233",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301516579",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD61499859",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "208282",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00019582",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000328237E",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwhite3672394@epic00.corewelldirect.org",
"affiliation": "N",
"address_1": "28050 Grand River Ave",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483365919",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.urology@adena.medicity.net",
"affiliation": "N",
"address_1": "272 Hospital Rd Ste 260",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456019031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "J",
"last_name": "WHITE",
"middle_name": "MAXWELL",
"suffix": "JR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.