Individual provider Active NPI

Stanley D White, PA

  • Physician Assistant
  • Daphne, AL
National Provider Identifier
1780684977
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA182 Issued in AL
Practice address
27535 US Highway 98
Daphne, AL 36526-4839
Phone
(251) 625-0909
Fax
(251) 380-7390
NPI assigned
Jul 28, 2005
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA182 AL Primary

Addresses

Primary practice location

27535 US Highway 98
Daphne, AL 36526-4839

Mailing address

27535 US Highway 98
Daphne, AL 36526-4839
Phone (251) 625-0909

Other identifiers 2

IdentifierTypeStateIssuer
970022612OtherRAILROAD MEDICARE
051503930MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100628000899 AL Practitioner - Physician Assistant 6305977844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA182ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Neurology and Pain Clinic Current Accepting new patients
Alabama Orthopaedic Clinics, PC Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Dec 2, 2019 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Dec 2, 2019 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

27535 US Highway 98
Daphne, AL 36526
Phone (251) 375-0131

2451 University Hospital Dr
#101
Mobile, AL 36617
Phone (251) 445-8282

3610 Springhill Memorial Dr N
Mobile, AL 36608
Phone (251) 344-9630

3610 Springhill Memorial Dr N
#D
Mobile, AL 36608
Phone (251) 342-3000

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1780684977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27535 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264839",
            "telephone_number": "251-625-0909",
            "fax_number": "251-380-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27535 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264839",
            "telephone_number": "251-625-0909",
            "fax_number": "251-380-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STANLEY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970022612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051503930",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.