William Penn White III, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18120 Issued in AL

Practice address

4126 Carmichael CT
Montgomery, AL 36106-2871

Phone

(334) 495-2600

Fax

(334) 495-2604

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1390
• Direct secure messaging: w.white@direct.baptistfirst.org

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.

• Capital City Gastroenterology, PC

  • Gastroenterology Physician
  • Montgomery, AL
  • NPI 1073587523
  Medicare reassignment NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962475020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 CARMICHAEL CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062871",
            "telephone_number": "334-495-2600",
            "fax_number": "334-495-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 CARMICHAEL CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062871",
            "telephone_number": "334-495-2600",
            "fax_number": "334-495-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WILLIAM",
        "middle_name": "PENN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "18120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "51520506",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Allen White, MD
• Hunter Behrens White, CRNA
• John White, RN
• Madison Grace White
• Nathan Brandon White, DMD
• Whitehead & Associates
• Danel Whitehead
• Deserra Whitfield, LMT
• Detra V. Whiting, LICSW
• Alexander C Whitley, MD PHD

• Gastroenterology Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Gastroenterology Physician in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.