Sports Medicine and Rehabilitative Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

26436 Issued in TN

Legal business name

SPORTS MEDICINE AND REHABILITATIVE THERAPY

Practice address

182 Sunset Blvd
Jesup, GA 31545-0401

Phone

(912) 385-2333

Fax

(912) 385-2350

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gregory White, MDNPI 1851368377

Title

Owner

Phone

(912) 385-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SMART Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory G White, MD

  • Orthopaedic Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1851368377

  Specialist

  NPD Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1982921771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5048",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312085048",
            "telephone_number": "912-385-2333",
            "fax_number": "912-385-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SUNSET BLVD",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450401",
            "telephone_number": "912-385-2333",
            "fax_number": "912-385-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE AND REHABILITATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-385-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "26436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ8290",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Surgical Associates, P.C.
• Southwest Surgical Associates, P.C.
• Southwest Surgical Associates, PC
• Robson S Spinola, D.P.M.
• Jodi Cheree Spires, LPC
• Stanley D. Jones, M.D.P.C.
• Stephen P Smith, M. D., P. C.
• Gary R Stern, MD
• Holli Joy Stevens, P.T,, D.P.T.
• Michelle Bianca Stevens

• Specialist in Jesup, GA
• Providers in Jesup, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.