Active NPI
Benjamin White, M.D.
- Pediatric Otolaryngology Physician
- Atlanta, GA
National Provider Identifier
1902887714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 029261
- Practice address
- 5673 Peachtree Dunwoody Rd
Suite 150
Atlanta, GA 30342-1731 - Phone
- (404) 297-1780
- Fax
- (404) 252-7255
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 029261 | GA | Primary |
Addresses
Primary practice location
5673 Peachtree Dunwoody Rd
Suite 150
Atlanta, GA 30342-1731
Mailing address
5673 Peachtree Dunwoody Rd
Suite 150
Atlanta, GA 30342-1731
Phone (404) 297-1780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000338643J | Medicaid | GA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029261 | GA | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT of Georgia, LLC | Current | Accepting new patients | |
| Northside Surgical Professional Services LLC | Past | Accepting new patients | |
| Alpharetta ENT Specialists LLC | Past | Accepting new patients |
Locations
5673 Peachtree Dunwoody Rd
Ste 150
Sandy Springs, GA 30342
Phone (404) 297-4230
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDIACD
- bwhite2249@choa.gadirect.net
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Otolaryngology Physician
- Alpharetta, GA
- NPI 1447037130
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902887714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5673 PEACHTREE DUNWOODY RD",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421731",
"telephone_number": "404-297-1780",
"fax_number": "404-252-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5673 PEACHTREE DUNWOODY RD",
"address_2": "SUITE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421731",
"telephone_number": "404-297-1780",
"fax_number": "404-252-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "GA",
"license": "029261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000338643J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.