DR. ANDREW WESLEY WHITE (NPI# 1831539253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831539253 |
| Entity Type | Individual |
| Full Name | DR. ANDREW WESLEY WHITE |
| Credential | M.D. |
| Practice Address |
1120 15th St # Af1006 Augusta GA 30912-4500 |
| Mailing Address |
1120 15th St # Af1006 Augusta GA 30912-0004 |
| Practice Telephone | 2298692466 |
| Mailing Telephone | (229) 869-2466 |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
74619 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | T-2731 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Jackson, MS 392164500 | 6019845102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242202 | Andrew Jason White | Occupational Therapist | 1229 Country Farm Rd, Bedford, VA 24523 | 2019-12-17 |
| 1609368836 | Andrew Kyle White | Dentist | 14054 E 54 Hwy, Nevada, MO 64772-7232 | 2018-06-04 |
| 1073043774 | Andrew White | Physical Therapy Assistant | 312 Millbury Ave, Millbury, MA 01527-3622 | 2017-06-14 |
| 1760627004 | Andrew Jason White | Registered Nurse | 150 Reed Ave, Syracuse, NY 13207-1108 | 2008-12-15 |
| 1376566885 | Andrew J. White | Chiropractor | 2019 W 1900 S, Suite 100, Syracuse, UT 84075-9579 | 2006-07-25 |
| 1295769768 | Andrew Oliver White | Family Medicine | 1302 South Broad Street, Scottsboro, AL 35768-2514 | 2006-07-10 |
| 1285254615 | Andrew William White | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-04-27 |
| 1295395085 | Andrew White | Physical Therapist | 5801 Patterson Ave, Richmond, VA 23226-2536 | 2019-06-14 |
| 1467016378 | Andrew Layton White Jr. | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2019-04-25 |
| 1043791247 | Andrew White | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2018-08-24 |
| Street Address |
1120 15TH ST # AF1006 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201413 | Carissa Chalut | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2014-06-23 |
| 1710116132 | Matthew David Steimle | Emergency Medicine | 1120 15th St, Af 2039, Augusta, GA 30912-0004 | 2009-07-07 |
| 1467594218 | Douglas Johnson | Emergency Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2007-02-12 |
| 1447352778 | Csra Emergency Physicians, PC | Emergency Medicine | 3651 Wheeler Road, Er Dept., Augusta, GA 30909 | 2006-09-05 |
| 1750365672 | Guillermo Joaquin Pierluisi | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675956 | Nextgen Ems LLC | Emergency Medicine | 121 Tyre Dr, Mcdonough, GA 30253-8542 | 2020-09-29 |
| 1710506233 | Rita Udom | Emergency Medicine | 2795 Davis Rd, Marietta, GA 30062-6670 | 2020-04-14 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1013141118 | Darren Deandre Naugles | Emergency Medicine | 8920 Firestone Cir, Duluth, GA 30097-6627 | 2009-05-05 |
| 1437393667 | Donald R. Dalbey | Emergency Medicine | 3725 Sweetwater Drive, Cumming, GA 30041 | 2009-05-01 |
| 1346411667 | Harvey E Schuck | Emergency Medicine | 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 | 2008-03-14 |
| 1639364011 | Srihari Rao Malempati | Emergency Medicine | 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 | 2007-09-10 |
| 1306060264 | Gary L Godlewski | Emergency Medicine | 4755 Wesleyan Woods Dr, Macon, GA 31210-4410 | 2007-04-12 |
| 1710030002 | Robert Lee Carlson Jr. | Emergency Medicine | 3900 Legacy Park Blvd Nw, Suite C-100, Kennesaw, GA 30144-7412 | 2007-01-19 |
| 1487729992 | Lisa Tadayon | Emergency Medicine | 1000 John Fy Rd Ne, Atlanta, GA 30342-1606 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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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.