Individual provider Active NPI

Frank Thomas White Jr., M.ED-CCC

  • Speech-Language Pathologist
  • Cartersville, GA
National Provider Identifier
1811449549
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009405 Issued in GA
Practice address
108 Forrest Ave
Cartersville, GA 30120-3614
Phone
(770) 926-2884
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP009405 GA Primary

Addresses

Primary practice location

108 Forrest Ave
Cartersville, GA 30120-3614

Mailing address

1916 Spring Creek LN
Sandy Springs, GA 30350-3818
Phone (470) 331-3039

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

State licenses

LicenseStateTypeSpecialty
SLP009405GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Naturalistic Speech & Language Speech-Language Pathologist Current Accepting new patients

Locations

108 Forrest Ave
Cartersville, GA 30120
Phone (770) 386-6222

Organizations & group practices 1

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1811449549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 SPRING CREEK LN",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303503818",
            "telephone_number": "470-331-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FORREST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203614",
            "telephone_number": "770-926-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "FRANK",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.ED-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.