Jeremy Jason White, DO/PHD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DO2305 Issued in NV

Practice address

1514 Vernon Rd
Lagrange, GA 30240-4131

Phone

(770) 874-6873

Fax

(678) 235-6758

NPI assigned

Sep 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA, NV, VA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Emergency Medicine

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Team Physicians of Nevada-Scherr, PCGroup PAC ID 4082844147, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Team Physicians of Nevada-Scherr, P.C.

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1073942116

  NV

  Medicare reassignment Care Compare group NPD
• Lagrange Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lagrange, GA
  • NPI 1760437560
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment NPD
• Elite Medical Services at Lakeside LLC

  • Emergency Medicine Physician
  • Belle Glade, FL
  • NPI 1992216568
  Medicare reassignment NPD
• Lake Spring Emergency Group, LLC

  • Emergency Medicine Physician
  • Salem, VA
  • NPI 1215429600
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD
• C19 Rapid Testing Solution LLC

  • General Practice Physician
  • Lizella, GA
  • NPI 1225705353
  NPD (past) Authorized official
• Nevada Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Reno, NV
  • NPI 1013519388
  NPD
• Nevada Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Reno, NV
  • NPI 1730957275
  NPD
• Nevada Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Sparks, NV
  • NPI 1790462232
  NPD
• Blue Job Emergency Physicians LLC

  • Emergency Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1457760142
  NPD (past)

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

• Banner Churchill Community Hospital

  • Critical Access Hospital
  • Fallon, NV
  • NPI 1265811251
  Care Compare affiliation
• Galencare, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1780966515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BLUE LEAF DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733887",
            "telephone_number": "786-351-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "770-874-6873",
            "fax_number": "678-235-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEREMY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DO/PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-19",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS11193",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102207033",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "DO2305",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "069461",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.1547",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Georgia Medical Group-Lagrange
• West Georgia Multi Specialty Clinic, PC
• West Georgia Star
• Gayle Whaley, RN
• Caleb M White, DPT, PT
• Stephanie White, CRNP
• Jim Whitley, BC-HIS
• Donna G Whitlow, O.D.
• John B. Whitlow, O.D.
• Susan Whitworth, RPH

• Emergency Medicine Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.