Bennie R White Jr. (NPI# 1376575225, PAC ID# 3870592645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376575225 |
| PAC ID by PECOS | 3870592645 |
| Professional Enrollment ID | I20070326000211 |
| Full Name | Bennie R White Jr. |
| Address |
794 Mcdonough Rd Suite 105 Jackson GA 30233-1572 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
794 MCDONOUGH RD SUITE 105 |
| City | JACKSON |
| State | GA |
| Zip | 30233-1572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon T Barton | Family Medicine | Venture Medical Associates LLC | 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 |
| Derrell Leggett | Pain Management | 794 Mcdonough Rd, Suite 111, Jackson, GA 30233-1572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge L Moreno Jr. | Family Medicine | 375 Mcdonough Rd, Jackson, GA 30233-1509 | |
| Riliwanu Aliu | Family Medicine | Georgia Emergency Group LLC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
| Moshe M Usadi | Family Medicine | Georgia Emergency Group LLC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
| James Whitney Whitaker | Diagnostic Radiology | Georgia Imaging Associates PC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
| Naveed I Alvi | Diagnostic Radiology | Georgia Imaging Associates PC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
| Shashi S Madan | Internal Medicine | 135 N Oak St, Jackson, GA 30233-1942 | |
| Niraj Patel | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
| Peter Izzo | Family Medicine | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
| Evelyn O Redding | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
| Julian K Mclendon Jr. | Family Medicine | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
| Find all physicians in zip 30233 | |||
| City | JACKSON |
| Zip Code | 30233 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bennie R White Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.