Individual provider Active NPI

Jeffery White, MASTER BARBER

  • Orthoptist
  • Macon, GA
National Provider Identifier
1770183709
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthoptistTaxonomy code 156FX1900X
Practice address
1381 Pio Nono Ave
Macon, GA 31204-4633
Phone
(478) 812-8488
NPI assigned
Oct 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthoptist 156FX1900X GA Primary

Addresses

Primary practice location

1381 Pio Nono Ave
Macon, GA 31204-4633

Mailing address

1381 Pio Nono Ave
Macon, GA 31204-4633
Phone (478) 812-8488

Other identifiers 1

IdentifierTypeStateIssuer
1111111111111111111MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Razorline_barbershiop@yahoo.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1770183709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044633",
            "telephone_number": "478-812-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044633",
            "telephone_number": "478-812-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "MASTER BARBER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1900X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Orthoptist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111111111111111111",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Razorline_barbershiop@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1381 Pio Nono Ave",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312044633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.