PAUL JEFFREY WHITE (NPI# 1205816964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205816964 |
| Entity Type | Individual |
| Full Name | PAUL JEFFREY WHITE |
| Credential | PA-C |
| Practice Address |
3708 Northside Dr Macon GA 31210-2404 |
| Practice Telephone | 4787454206 |
| Practice Fax Number | 4782545463 |
| Mailing Telephone | 4787454206 |
| Mailing Fax Number | 4782545463 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2145 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 500922048A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176830 | Paul Jonathan White | Family Medicine | 12108 Stardrift Dr, Germantown, MD 20876-5916 | 2018-12-17 |
| 1326254624 | Paul A White | Obstetrics & Gynecology | 2152 E Cooper Avenue, Suite 111, Fresno, CA 93730-5404 | 2007-05-15 |
| 1154406585 | Paul Andrew White | Psychologist | Cmr 405 Box 1387, Apo, AE 09034 | 2006-10-26 |
| 1770671083 | Paul White | Social Worker | 1808 Orchid Street, Sarasota, FL 34239 | 2006-10-11 |
| 1164537502 | Paul F White | Anesthesiology | 41299 Tallgrass, The Sea Ranch, CA 95497-0016 | 2006-08-19 |
| 1821009689 | Paul Duane White | Chiropractor | 1635 E Main St, Sylva, NC 28779-5815 | 2006-08-10 |
| 1114940897 | Paul R. White | Dentist | 5237 Hickory Park Drive, Glen Allen, VA 23059-2616 | 2006-07-25 |
| 1174142962 | Paul Ashley White | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-11 |
| 1629630645 | Paul Lee White | Pharmacist | 238 S Pearson Rd, Pearl, MS 39208-5637 | 2019-06-29 |
| 1023567963 | Paul White | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-10-03 |
| Street Address |
3708 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
| 1295333680 | Daniel Braschler | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-10-16 |
| 1881203958 | Bobby Holcumb IIi | Physical Therapy Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-07-24 |
| 1184240426 | Jenna Walton | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-06-23 |
| 1710525886 | April Hancock | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-12-19 |
| 1942856620 | Natalia Busuttil | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-08-17 |
| 1689228918 | Cameron Tidwell | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-07-25 |
| 1255892600 | Joshua Beagle | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-28 |
| 1629536776 | Mayur Vishnubhai Patel | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-07 |
| 1043776891 | Lauren Clark | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609052075 | Erica Diouf | Physician Assistant | 2844 Barrett Ave, Macon, GA 31206-4834 | 2008-01-16 |
| 1447376660 | Tm Martin Inc | Physician Assistant | 238 Wesley Cir, Macon, GA 31204-2458 | 2007-03-21 |
| 1376923425 | Eryn Dunwody | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2015-06-04 |
| 1801213467 | Jeffrey Brown | Physician Assistant | 575 1st St, Macon, GA 31201-2825 | 2014-03-20 |
| 1861760027 | Vein Specialists of The South | Physician Assistant | 556 3rd St, Macon, GA 31201-7934 | 2011-12-02 |
| 1831388149 | Paul D Folendore IIi | Physician Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2007-10-23 |
| 1578647277 | Tracy Denise Davis | Physician Assistant | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2006-10-25 |
| 1235176819 | Jessica Lyn Menard | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-06-01 |
| 1740236314 | Nandan Ramesh Hichkad | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-05-25 |
| 1942289186 | Tammy Michelle Harmsen | Physician Assistant | 688 Walnut St, Ste 200, Macon, GA 31201-2677 | 2006-01-16 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.