Allison Randle White, MD

Key facts

NPI

1760559751

Entity type

Individual (NPI type 1)

Primary specialty

Nephrology Physician 207RN0300X

License

05863 (MS)

Practice address

609 Tallahatchie St
Greenwood, MS 38930-2005

Phone

(662) 453-5208

Fax

(662) 453-4546

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Delta Hills Nephrology Associates Nephrology Physician · Greenwood, MS · NPI 1841222437
  Medicare reassignment Care Compare group NPD Authorized official MS · NEPHROLOGY
• Delta Hills Nephrology Clinics PLLC Nephrology Physician · Greenwood, MS · NPI 1811764475
  Medicare reassignment Care Compare group NPD MS · NEPHROLOGY
• Greenwood Leflore Hospital General Acute Care Hospital · Greenwood, MS · NPI 1578595302
  NPD (past)
• Isd Renal Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA · NPI 1225647332
  NPD (past)

Hospital & facility affiliations 5

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

• RCG Mississippi, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Indianola, MS · NPI 1568574390
  Care Compare affiliation Name & address match Dialysis facility
• RCG Mississippi, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Greenwood, MS · NPI 1588776330
  Care Compare affiliation Name & address match Dialysis facility
• State of Mississippi - University of Mississippi Medical Center General Acute Care Hospital · Greenwood, MS · NPI 1699714717
  Care Compare affiliation Hospital
• State of Mississippi-University of Mississippi Medical Center Psychiatric Hospital · Grenada, MS · NPI 1083041917
  Care Compare affiliation Hospital
• State of Mississippi-University of Mississippi Medical Center General Acute Care Hospital · Grenada, MS · NPI 1558798603
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nephrology

Education

University of Mississippi School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Hills Nephrology Associates (3 clinicians)
Delta Hills Nephrology Clinics PLLC (4 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Greenwood Dialysis facility · Greenwood, MS · CCN 252514
• RCG Indianola Dialysis facility · Indianola, MS · CCN 252542
• Greenwood Leflore Hospital Hospital · Greenwood, MS · CCN 250099
• University of Mississippi Medical Center- Grenada Hospital · Grenada, MS · CCN 250168

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allison.white.1@29589.direct.athenahealth.com
• Direct secure messaging: white_randle_md@yourcarecommunity.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760559751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TALLAHATCHIE ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302005",
            "telephone_number": "662-453-5208",
            "fax_number": "662-453-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TALLAHATCHIE ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302005",
            "telephone_number": "662-453-5208",
            "fax_number": "662-453-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALLISON",
        "middle_name": "RANDLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "05863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011930",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

• Westminster Presbyterian Church
• Bethany Westoby
• Harold J Wheeler, M.D.
• Connie R Whelan, M.S., CCC-SLP
• William Michael Whelan, PHD
• Robert Cecil White Jr., DMD MS
• Robin White
• Shenekia White
• Spencer White, DDS, MS
• Perry M Whites, D.M.D.

All providers in Greenwood, MS · Nephrology Physician in Mississippi