Jennifer Cooke White, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00026957 Issued in AL

Practice address

1302 South Broad Street
Scottsboro, AL 35768-2514

Phone

(256) 218-4080

Fax

(256) 218-3147

NPI assigned

Jul 10, 2006

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

Enrolled in AL

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 1

Specialty

Family Practice

Education

University of Alabama School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scottsboro Family Physicians PCGroup PAC ID 4789773508, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.white.1@7879.direct.athenahealth.com
• Direct secure messaging: jennifer.white.1@29630.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4

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.

• Scottsboro Family Physicians PC

  • Rural Health Clinic/Center
  • Stevenson, AL
  • NPI 1700365756

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, 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.

• Scottsboro Family Physicians PC

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1639362239
  Medicare reassignment Care Compare group NPD Authorized official
• Scottsboro Family Physicians PC

  • Rural Health Clinic/Center
  • Stevenson, AL
  • NPI 1700365756
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Jackson LLC

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1689608143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SOUTH BROAD STREET",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682514",
            "telephone_number": "256-218-4080",
            "fax_number": "256-218-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SOUTH BROAD STREET",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682514",
            "telephone_number": "256-218-4080",
            "fax_number": "256-218-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "middle_name": "COOKE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00026957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Watkins, PHARM. D
• Donna Watson, C.R.N.P.
• James Donald Watson, O.D.
• Mavis L Webb, CRNA
• Andrew Oliver White, M.D.
• Lindsey Dicus White, NP-C
• Emily Wigley, OTR/L
• Kimberly Phillips Wilhelm, LICSW-S
• Jamie A Williams, PT
• Matthew Williams, PHARMD

• Family Medicine Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.