Individual provider Active NPI

Cierra White

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1902544687
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11256 Issued in GA
Practice address
3240 N E Expy NE Ste 100
Atlanta, GA 30341-4003
Phone
(404) 480-9330
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11256 GA Primary

Addresses

Primary practice location

3240 N E Expy NE Ste 100
Atlanta, GA 30341-4003

Mailing address

3240 N E Expy NE Ste 100
Atlanta, GA 30341-4003
Phone (404) 480-9330

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251001000303 GA Practitioner - Physician Assistant 7214433077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1505 Stone Bridge Pkwy
Suite 200
Woodstock, GA 30189-8255

300 Tower Rd
Suite 200
Marietta, GA 30060-9403

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11256GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Sep 8, 2025 Accepting new patients
Barbour Orthopaedics & Sports Medicine PC CurrentSince Sep 23, 2024 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Sep 8, 2025 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Past Accepting new patients

Locations

3240 Northeast Expy NE
Ste 100
Atlanta, GA 30341

720 Transit Ave
Ste 202
Canton, GA 30114
Phone (770) 345-5717

144 Bill Carruth Pkwy
Ste 4700
Hiram, GA 30141
Phone (678) 453-5717

300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219

300 Tower Rd NE
Ste 100
Marietta, GA 30060
Phone (770) 499-9118

1121 Johnson Ferry Rd
Ste 200
Marietta, GA 30068
Phone (770) 579-8558

300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1902544687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 N E EXPY NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414003",
            "telephone_number": "404-480-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 N E EXPY NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414003",
            "telephone_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CIERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.