Individual provider Active NPI

Marshall A White, MD

  • Neurology Physician
  • Mount Pleasant, SC
National Provider Identifier
1801853783
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13431 Issued in SC
Practice address
1470 Ben Sawyer Blvd Ste 8
Mt Pleasant, SC 29464-4593
Phone
(843) 696-3705
Fax
(843) 388-5839
NPI assigned
Apr 26, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13431 SC
Mental Health Counselor 101YM0800X 13431 SC
Neurology Physician 2084N0400X 13431 SC Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 13431 SC

Addresses

Primary practice location

1470 Ben Sawyer Blvd Ste 8
Mt Pleasant, SC 29464-4593

Mailing address

1470 Ben Sawyer Blvd Ste 8
Mount Pleasant, SC 29464-4593
Phone (843) 696-3705

Other identifiers 2

IdentifierTypeStateIssuer
134312MedicaidSC
GP3879MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13431SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Santhill Diagnostics, LLC Specialist PastSince May 24, 2004 Accepting new patients
Manning Diagnostics LLC Past Accepting new patients
Mobile Diagnostics, LLC Neurology PastSince Mar 12, 2004 Accepting new patients
Manning Diagnostics LLC Specialist Past Accepting new patients
Santhill Diagnostics LLC Past Accepting new patients

Organizations & group practices 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1801853783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 BEN SAWYER BLVD STE 8",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644593",
            "telephone_number": "843-696-3705",
            "fax_number": "843-388-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 BEN SAWYER BLVD STE 8",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644593",
            "telephone_number": "843-696-3705",
            "fax_number": "843-388-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARSHALL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "13431",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "13431",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "13431",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "SC",
            "license": "13431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134312",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3879",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.