Deandra Lashay White, APRNC - Medicare Nurse Practitioner in Jackson, GA

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Deandra Lashay White, APRNC is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Georgia. Her current practice location is 794 Mcdonough Rd Ste 108, Jackson, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 251-5300.

Deandra Lashay White is licensed to practice in Georgia (license number APRN-NP334550) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174116446.

Contact Information

Deandra Lashay White, APRNC
794 Mcdonough Rd Ste 108,
Jackson, GA 30233-1572
(470) 251-5300
Not Available

Map and Direction




Provider's Profile

Full NameDeandra Lashay White
GenderFemale
SpecialityNurse Practitioner - Family
Location794 Mcdonough Rd Ste 108, Jackson, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174116446
  • Provider Enumeration Date: 02/17/2021
  • Last Update Date: 10/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365857554
  • Enrollment ID: I20230629000371

Medical Identifiers

Medical identifiers for Deandra Lashay White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174116446NPI-NPPES
APRN-11010982OtherFLFLORIDA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN-NP334550 (Georgia)Primary
363LF0000XNurse Practitioner - Family NP001196 (Georgia)Secondary
363L00000XNurse Practitioner APRN-11010982 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Deandra Lashay White allows following entities to bill medicare on her behalf.
Entity NameSelect Interventional Pain, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750789947
PECOS PAC ID: 0143547547
Enrollment ID: O20150324001231

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deandra Lashay White is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deandra Lashay White, APRNC
865 N Highland Ave Ne,
Atlanta, GA 30306-4565

Ph: (866) 389-2727		Deandra Lashay White, APRNC
794 Mcdonough Rd Ste 108,
Jackson, GA 30233-1572

Ph: (470) 251-5300

Reviews and Comments


Nurse Practitioner Nurses in Jackson, GA

Beverly Shaw, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1502 W 3rd St, Jackson, GA 30233
Phone: 770-914-1808    
Ms. Auriel Renae Lewis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 794 Mcdonough Rd Ste 104, Jackson, GA 30233
Phone: 770-775-9044    
Mildred Potter Stull, RN, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Mcdonough Rd, Jackson, GA 30233
Phone: 770-775-7861    Fax: 770-775-4478
Ms. Angela Michelle Cain, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1502 W 3rd St, Jackson, GA 30233
Phone: 770-914-0116    
Mrs. Jaimi Marie Norrell, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 794 Mcdonough Rd, 111, Jackson, GA 30233
Phone: 470-251-5300    
Young Dreaden, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2978 Hwy 36w, Jackson, GA 30233
Phone: 770-504-2112    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.