Active NPI
John A White, M.D.
- Otolaryngology Physician
- Vidalia, LA
National Provider Identifier
1801882634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 017462
- Practice address
- 107 Front St
Suite 240
Vidalia, LA 71373-2836 - Phone
- (318) 336-2214
- Fax
- (318) 336-6069
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 017462 | LA | Primary |
Addresses
Primary practice location
107 Front St
Suite 240
Vidalia, LA 71373-2836
Mailing address
506 S Union St
Natchez, MS 39120-3578
Phone (601) 446-7524
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00112499 | Medicaid | MS | |
| 1378232 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tulane University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 Front St
Vidalia, LA 71373-2835
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017462 | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Head and Neck Clinic LLC | Otolaryngology | Past | Accepting new patients |
| Natchez Community Hospital LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Vidalia, LA
- NPI 1316105497
-
- General Acute Care Hospital
- Natchez, MS
- NPI 1619922283
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801882634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 S UNION ST",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391203578",
"telephone_number": "601-446-7524",
"fax_number": "318-336-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 FRONT ST",
"address_2": "SUITE 240",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713732836",
"telephone_number": "318-336-2214",
"fax_number": "318-336-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "017462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00112499",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1378232",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.