Carlos Cortez White

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

218 Screven Ave
Waycross, GA 31501-3452

Phone

(912) 287-9134

Fax

(912) 303-7143

NPI assigned

Aug 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1962233346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3044",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315023044",
            "telephone_number": "912-590-7120",
            "fax_number": "912-303-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SCREVEN AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013452",
            "telephone_number": "912-287-9134",
            "fax_number": "912-303-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CARLOS",
        "middle_name": "CORTEZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iona Virginia Weston
• Benjamin Randolph Wheeler, R.PH.
• George A Wheeler, M.D.
• Theresa Wheeler, LPN
• Ashley Nicole White, FNP-C
• Dalton White
• Michelle Renee Widows, PHD
• Tammy Wiggins, NP
• Jason E Wilkerson
• Donnetta Wilkinson, LPN

• Pastoral Counselor in Waycross, GA
• Providers in Waycross, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.