Individual provider Active NPI

Stephen Franklin White Jr., MD

  • Otolaryngology Physician
  • Cumming, GA
National Provider Identifier
1710440318
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
103714 Issued in GA
Practice address
4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021
Phone
(770) 292-3045
Fax
(770) 292-3046
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 103714 GA Primary

Addresses

Primary practice location

4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021

Mailing address

4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021
Phone (770) 292-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250904000917 GA Practitioner - OtolaryngologyPractitioner - Sleep Medicine 9335482371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
Medical College of Georgia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Ear Nose and Throat PCGroup PAC ID 9830403229, 15 clinicians

Practice addresses (Care Compare)

4150 Deputy Bill Cantrell Memorial
Suite 260
Cumming, GA 30040
Phone (770) 292-3045

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Ear Nose & Throat PC Otolaryngology CurrentSince Sep 2, 2025 Accepting new patients
Northside Surgical Professional Services LLC PastSince Sep 2, 2025 Accepting new patients

Locations

3180 North Point Pkwy
Ste 512
Alpharetta, GA 30005
Phone (678) 679-5070

4150 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040

73 Prestige Ln
Ste 202
Dawsonville, GA 30534
Phone (770) 292-3045

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1710440318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403021",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403021",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHEN",
        "middle_name": "FRANKLIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "103714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.