Kanika R White, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN171760 Issued in GA

Practice address

610 19TH St
Columbus, GA 31901-1528

Phone

(706) 322-7884

Fax

(706) 243-4356

NPI assigned

Jun 14, 2013

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kanika Russell Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group of Georgia LLCGroup PAC ID 9638699648, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanika.white.1@32140.direct.athenahealth.com
• Direct secure messaging: kanika.white@gadirect.net
• Direct secure messaging: kanika.white@sfhga.gadirect.net

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.

• Millennium Physician Group of Georgia LLC

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1538993084
  Medicare reassignment Care Compare group NPD
• St Francis Affiliated Services LLC

  dba St Francis Columbus Clinic

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1912371220

  Nurse Practitioner

  Medicare reassignment NPD
• Mac - Macon Road LLC

  • Clinic/Center
  • Columbus, GA
  • NPI 1053599043
  NPD
• St Francis Affiliated Services LLC

  dba St. Francis Columbus Specialty Clinic

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1598130932

  Nurse Practitioner

  NPD
• St Francis Affiliated Services LLC

  dba Midtown Acute Care

  • Urgent Care Clinic/Center
  • Columbus, GA
  • NPI 1821462136
  NPD
• St Francis Columbus Clinic LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1295159143

  Nurse Practitioner

  NPD
• St. Francis Psychiatrist ,LLC

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1619129541
  NPD
• Millennium Independent Provider Network of Georgia, LLC

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1235967548
  NPD (past)

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

• St Francis Health LLC

  dba St Francis Hospital

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1891134672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 2001A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-320-3126",
            "fax_number": "706-320-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011528",
            "telephone_number": "706-322-7884",
            "fax_number": "706-243-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KANIKA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN171760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140949B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANIKA",
            "last_name": "RUSSELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darin Michael White, DPT, ECS
• David Ernest White, M.D.
• Dynasty White, RBT
• Gary White
• Jermaine White
• Kevin L White, PHD, LPC, CPCS, NCC
• Lottie White, RBT
• Marion White
• Marissa Antionette White
• Rickeena C White

• Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.