Individual provider Active NPI

Shelby T White, MD

  • Family Medicine Physician
  • Centreville, MS
National Provider Identifier
1720036890
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36465 Issued in MS
Practice address
178 Highway 24 E Ste a
Centreville, MS 39631-4171
Phone
(601) 890-0520
Fax
(601) 645-5788
NPI assigned
May 4, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36465 MS Primary

Addresses

Primary practice location

178 Highway 24 E Ste a
Centreville, MS 39631-4171

Mailing address

178 Highway 24 E Ste a
Centreville, MS 39631-4171
Phone (601) 890-0520

Other identifiers 1

IdentifierTypeStateIssuer
08923390MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050920001022 MS Practitioner - Nurse Practitioner 9638103609 Reassigns benefits to 16 organizations
I20250624001661 LA Practitioner - Family Practice 9638103609 Reassigns benefits to 3 organizations
I20260226002271 MS Practitioner - Family Practice 9638103609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Staffing Solutions IncGroup PAC ID 9830001650, 57 clinicians
RH Emergency Medicine of Marion General LLCGroup PAC ID 0648623744, 8 clinicians
Field Memorial Community HospitalGroup PAC ID 0547248544, shared by 7 NPIs, 41 clinicians
Jena Ess LLCGroup PAC ID 7810116258, 15 clinicians

Practice addresses (Care Compare)

108 6TH Ave
Kinder, LA 70648-3187
Phone (337) 738-2527

1560 Sumrall Rd
Columbia, MS 39429-2654
Phone (601) 736-6303

178 Highway 24
Centreville, MS 39631-4171

178 Hwy 24 E
Centreville, MS 39631-4171

187 9TH St
Jena, LA 71342-3900
Phone (318) 992-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36465MSMDFamily Medicine Physician
R861790MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Mar 1, 2022 Accepting new patients
RH Emergency Medicine of Highland Community LLC CurrentSince Dec 28, 2025 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince Feb 1, 2025 Accepting new patients
Jena Ess Hospitalist LLC CurrentSince May 1, 2025 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince Feb 1, 2025 Accepting new patients
Jena Ess LLC CurrentSince May 1, 2025 Accepting new patients
RH Emergency Medicine of Pearl River LLC CurrentSince Feb 1, 2025 Accepting new patients
Kemper Cah, Inc CurrentSince Aug 28, 2023 Accepting new patients
Rush Medical Foundation Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince Feb 1, 2025 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC CurrentSince Feb 1, 2025 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince May 1, 2025 Accepting new patients
Laird Hospital, Inc. CurrentSince Jun 5, 2025 Accepting new patients
Rush Medical Foundation Family Medicine Current Accepting new patients
Medical Foundation, Inc. Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Medical Foundation, Inc. Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
North Sunflower Medical Center CurrentSince Mar 1, 2022 Accepting new patients
RH Emergency Medicine of Perry County LLC CurrentSince Feb 1, 2025 Accepting new patients
Laird Hospital, Inc. CurrentSince Jun 5, 2025 Accepting new patients
RH Emergency Medicine of Marion General LLC CurrentSince Jun 1, 2025 Accepting new patients
North Sunflower Medical Center Family Medicine Current Accepting new patients
Rush Medical Foundation CurrentSince Sep 1, 2024 Accepting new patients
Kemper Cah, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Field Memorial Community Hospital Past Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations

1501 S Dixie St
Park, KY 42749
Phone (270) 786-2191

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

905C S Frontage Rd
Meridian, MS 39301
Phone (601) 482-4955

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Interoperability endpoints

  • Direct secure messaging: shelby.white.1@18357.direct.athenahealth.com

Organizations & group practices 31

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 31

Hospital & facility affiliations 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1720036890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E STE A",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0520",
            "fax_number": "601-645-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E STE A",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0520",
            "fax_number": "601-645-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHELBY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "36465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08923390",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MS

Sources for this page

Verify at the official NPI Registry.