Individual provider Active NPI

Paula White, FNP-BC

  • Family Nurse Practitioner
  • Athens, TN
National Provider Identifier
1932758828
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019033496 Issued in TN
Practice address
12 Walcon LN Apt 2
Athens, TN 37303-3764
Phone
(423) 252-7615
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019033496 TN Primary

Addresses

Primary practice location

12 Walcon LN Apt 2
Athens, TN 37303-3764

Mailing address

12 Walcon LN Apt 2
Athens, TN 37303-3764
Phone (423) 252-7615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210802002936 TN Practitioner - Nurse Practitioner 7214331081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration ClinicGroup PAC ID 1456577451, 6 clinicians

Practice addresses (Care Compare)

16850 State Hwy 58 S
Suite a
Decatur, TN 37322-7882
Phone (423) 506-3781

17619 State Hwy 58 N
Suite C
Decatur, TN 37322-7882
Phone (423) 334-2300

Hospital & facility affiliations

  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019033496TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Clinic Family CurrentSince Mar 4, 2025 Accepting new patients
Medical Specialties PLLC CurrentSince Jan 27, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 29, 2023 Accepting new patients
Restoration Clinic CurrentSince Mar 4, 2025 Accepting new patients

Locations

17619 State Highway 58 N
Ste C
Decatur, TN 37322
Phone (423) 334-2300

16850 State Highway 58 S
Ste B
Decatur, TN 37322
Phone (423) 507-7961

16850 State Highway 58 S
Ste A
Decatur, TN 37322
Phone (423) 334-2300

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: paula.white@130887584317444.direct.elationemr.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1932758828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WALCON LN APT 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033764",
            "telephone_number": "423-252-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WALCON LN APT 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033764",
            "telephone_number": "423-252-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PAULA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2019033496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.