Active NPI
Patricia F White, DO
- Emergency Medicine Physician
- Macclenny, FL
National Provider Identifier
1922026061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS7929
- Practice address
- 159 N 3Rd St
Ed Fraser Memorial Hospital
Macclenny, FL 32063-2103 - Phone
- (904) 259-3151
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS7929 | FL | Primary |
Addresses
Primary practice location
159 N 3Rd St
Ed Fraser Memorial Hospital
Macclenny, FL 32063-2103
Mailing address
159 N 3Rd St
Ed Fraser Memorial Hospital
Macclenny, FL 32063-2103
Phone (904) 259-3151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472178415A | Medicaid | GA | |
| 13656 | Other | FL | BCBS |
| 264215800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.04 of 100
- Quality
- 95.58
- Improvement activities
- 40
- Cost
- 71.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker County Medical Services Inc | Current | Accepting new patients | |
| Baker County Medical Services Inc | Current | Accepting new patients | |
| Baker County Medical Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Baker Community Health Center Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
Locations
159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815
Interoperability endpoints
- pwhite@bcms.medalliesdirect.net
Organizations & group practices 5
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.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- Rural Health Clinic/Center
- Macclenny, FL
- NPI 1386082220
-
- Emergency Medicine Physician
- Macclenny, FL
- NPI 1578822508
-
- Emergency Medicine Physician
- Macclenny, FL
- NPI 1396807319
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1922026061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 N 3RD ST",
"address_2": "ED FRASER MEMORIAL HOSPITAL",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632103",
"telephone_number": "904-259-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 N 3RD ST",
"address_2": "ED FRASER MEMORIAL HOSPITAL",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632103",
"telephone_number": "904-259-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PATRICIA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS7929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "472178415A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13656",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264215800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.