Individual provider Active NPI

James William White Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Ellijay, GA
National Provider Identifier
1821049347
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN124549 Issued in GA
Practice address
1362 S Main St
Ellijay, GA 30540-5410
Phone
(706) 276-4741
Fax
(706) 276-4645
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN124549 GA Primary

Addresses

Primary practice location

1362 S Main St
Ellijay, GA 30540-5410

Mailing address

866 Wooten Lake Rd NW
Kennesaw, GA 30144-1339
Phone (770) 517-4819

Other identifiers 9

IdentifierTypeStateIssuer
110205OtherGAMEDICARE PART A PROVIDER NUMBER
115683OtherGAGILMER NURSING HOME MEDICARE PROVIDER NUMBER
HOSP34OtherGAMEDICARE PART B PROVIDER NUMBER
190963580OtherGAGILMER NURSING HOME NPI NUMBER
11U205OtherGAMEDICARE SWING BED PROVIDER NUMBER
1275690703OtherGANORTH GEORGIA MEDICAL CENTER SWING BED NPI
628576069BMedicaidGA
000002043AMedicaidGA
1952395097OtherGANPI NORTH GEORGIA MEDICAL CENTER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000513 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476522145 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Southeast LLCGroup PAC ID 3870880792, 83 clinicians

Practice addresses (Care Compare)

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 985-3420

Hospital & facility affiliations

  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN124549GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Apr 3, 2023 Accepting new patients
Redmond Anesthesia and Pain Treatment, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2016 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2023 Accepting new patients
Georgia Group Services, LLC CurrentSince Jun 17, 2017 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Jul 18, 2016 Accepting new patients
Amsol Anesthetists of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2017 Accepting new patients
Georgia Group Services, LLC CurrentSince Jun 17, 2017 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 12, 2023 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC CurrentSince Mar 25, 2019 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2016 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2017 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2022 Accepting new patients
Union County Hospital Authority CurrentSince Jul 25, 2016 Accepting new patients
Union County Hospital Authority CurrentSince Jul 25, 2016 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 Accepting new patients
Redmond Anesthesia Services LLC Past Accepting new patients
Redmond Anesthesiology Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southeast Anesthesia PC Past Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Northside Cherokee Anesthesia Consultants, PC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Interoperability endpoints

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

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1821049347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 WOOTEN LAKE RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441339",
            "telephone_number": "770-517-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 S MAIN ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405410",
            "telephone_number": "706-276-4741",
            "fax_number": "706-276-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN124549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A PROVIDER NUMBER",
            "identifier": "110205",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GILMER NURSING HOME MEDICARE PROVIDER NUMBER",
            "identifier": "115683",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PROVIDER NUMBER",
            "identifier": "HOSP34",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GILMER NURSING HOME NPI NUMBER",
            "identifier": "190963580",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SWING BED PROVIDER NUMBER",
            "identifier": "11U205",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH GEORGIA MEDICAL CENTER SWING BED NPI",
            "identifier": "1275690703",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628576069B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002043A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NORTH GEORGIA MEDICAL CENTER",
            "identifier": "1952395097",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.