Edward D White Jr., NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000006822 Issued in TN

Practice address

710 Cornersville Rd
Lewisburg, TN 37091

Phone

(931) 994-5717

Fax

(931) 246-4233

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MP

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Healthcare CorporationGroup PAC ID 7719075167, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment Care Compare group NPD
• Commonwealth Healthcare Corporation

  • Rural Health Clinic/Center
  • Rota, MP
  • NPI 1679097315
  NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD
• Banyan Healthcare & Wellness Center, LLC

  • Pain Clinic/Center
  • Manchester, TN
  • NPI 1942381207
  NPD (past)
• Blankenship Medical Group PLLC

  • Family Medicine Physician
  • MC Minnville, TN
  • NPI 1104849116
  NPD (past)
• Family Care Clinic LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1780924456
  NPD (past)
• Middle Tennessee Surgical Associates, PLLC

  • Surgery Physician
  • Manchester, TN
  • NPI 1275827875
  NPD (past)
• Nes Tennessee, Inc.

  • Emergency Medicine Physician
  • Shelbyville, TN
  • NPI 1427039858
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1760448500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CORNERSVILLE RD",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-994-5717",
            "fax_number": "931-246-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CORNERSVILLE RD",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-994-5717",
            "fax_number": "931-246-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "EDWARD",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "6822",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000006822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TN 4128362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Walker, NURSE'S AIDE
• Carly Walls, PT, DPT
• Amanda Kay Watkins, COTA/L
• Isaac Douglass Werner, MD
• Kevin West
• Erin L White, N.P.
• Pamela D White, APN
• Angela Ruth Wiles, PMHNP-BC; FNP-C
• Breanna Wood, FNP
• Centeria Green Woolfolk, FNP-C

• Nurse Practitioner in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.