Individual provider Active NPI

John Maxwell White Jr., M.D.

  • Urology Physician
  • Bristol, TN
National Provider Identifier
1689601379
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
69973 Issued in TN
Practice address
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone
(423) 844-1121
NPI assigned
Jun 27, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
208282OtherGABLUE CROSS BLUE SHIELD
P00019582OtherRAILROAD MEDICARE
000328237EMedicaidGA

Other names 1

  • J Maxwell White Jr. Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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, KY8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20100924000443 GA Practitioner - Urology 0446219828 Reassigns benefits to 1 organization
I20240129000787 TN Practitioner - Urology 0446219828 Reassigns benefits to 1 organization
I20240229004270 WA Practitioner - Urology 0446219828 Reassigns benefits to 1 organization
I20240416000452 OH Practitioner - Urology 0446219828 Reassigns benefits to 1 organization
I20240807003746 NV Practitioner - Urology 0446219828 Reassigns benefits to 2 organizations
I20240814003257 MT Practitioner - Urology 0446219828 Reassigns benefits to 1 organization
I20240829001002 MI Practitioner - Urology 0446219828 Reassigns benefits to 2 organizations
I20250708003229 KY Practitioner - Urology 0446219828 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

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

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jul 24, 2024 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince May 25, 2024 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Nov 18, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Nov 18, 2024 Accepting new patients
Adena Medical Group LLC Urology CurrentSince Feb 26, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince May 25, 2024 Accepting new patients
CTH Physicians Clinic Current Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Lakeland Medical Practices CurrentSince Sep 1, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 1, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince May 25, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Jul 24, 2024 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 15, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 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

  • Direct secure messaging: jwhite1176104@direct.osumc.edu
  • Direct secure messaging: jwhite2885952@epic00.corewelldirect.org
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.