Active NPI
Michael Alex White, MD
- Specialist
- Columbus, MS
National Provider Identifier
1730181520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11125
- Practice address
- 294 Chubby Dr
Suite #2
Columbus, MS 39705-1358 - Phone
- (662) 244-8393
- Fax
- (662) 244-8392
- NPI assigned
- Aug 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11125 | MS | Primary |
Addresses
Primary practice location
294 Chubby Dr
Suite #2
Columbus, MS 39705-1358
Mailing address
PO Box 7433
Columbus, MS 39705-0002
Phone (662) 244-8393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116143 | Medicaid | MS | |
| 050046302 | Other | MS | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Columbus, MS
- NPI 1215198643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1730181520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7433",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397050002",
"telephone_number": "662-244-8393",
"fax_number": "423-339-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 CHUBBY DR",
"address_2": "SUITE #2",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051358",
"telephone_number": "662-244-8393",
"fax_number": "662-244-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "11125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116143",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050046302",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.