Active NPI
Rod Powell White, NMT
- Specialist
- Griffin, GA
National Provider Identifier
1871750174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT003954
- Practice address
- 724 S 8TH St
Griffin, GA 30224-4827 - Phone
- (770) 227-3514
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT003954 | GA | Primary |
Addresses
Primary practice location
724 S 8TH St
Griffin, GA 30224-4827
Mailing address
PO Box 502
Sunny Side, GA 30284-0502
Phone (770) 228-7917
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT003954 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1871750174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502",
"city": "SUNNY SIDE",
"state": "GA",
"postal_code": "302840502",
"telephone_number": "770-228-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244827",
"telephone_number": "770-227-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ROD",
"middle_name": "POWELL",
"name_prefix": "Mr.",
"credential": "NMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "MT003954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
- Wellstar Spalding Regional Hospital, Inc (WellStar Spalding Regional Hospital)
- Jasper Westbrook
- Jim Westmoreland, L.AC
- Kholi Smith Whelan, NP-C
- Chanda White, LCSW
- Sierra Janee Whitehead, PA-C
- Why Pay More Appliance and Mattress Store
- Julie Widmer, LMT
- Wiggle Worms Pediatric Therapy LLC
- Judith Wildman, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.