NPIMap

Organization Active NPI

Victoria Y. Warner-White M.D.

  • Point of Service
  • Saint Marys, GA
National Provider Identifier
1881854743
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
039504 Issued in GA
Legal business name
VICTORIA Y. WARNER-WHITE M.D.
Practice address
2040 Dan Proctor Dr
Suite 230
Saint Marys, GA 31558-3811
Phone
(912) 576-6464
Fax
(912) 576-6460
NPI assigned
Jun 13, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Victoria Yalonda Warner-White, M.D.NPI 1386798312
Title
Pediatrician
Phone
(912) 576-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 039504 GA Primary

Addresses

Primary practice location

2040 Dan Proctor Dr
Suite 230
Saint Marys, GA 31558-3811

Mailing address

2040 Dan Proctor Dr
Suite 230
Saint Marys, GA 31558-3811
Phone (912) 576-6464

Other identifiers 3

IdentifierTypeStateIssuer
00636633BMedicaidGA
261653847OtherGATRICARE
015004OtherGABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Dr Victoria Warner-White2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1881854743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR",
            "address_2": "SUITE 230",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583811",
            "telephone_number": "912-576-6464",
            "fax_number": "912-576-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR",
            "address_2": "SUITE 230",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583811",
            "telephone_number": "912-576-6464",
            "fax_number": "912-576-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA Y. WARNER-WHITE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WARNER-WHITE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "YALONDA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "912-576-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "039504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00636633B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "261653847",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "015004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.