| Mr James William White Jr, CRNA | |
|
1362 S Main St, Ellijay, GA 30540-5410 | |
| (706) 276-4741 | |
| (706) 276-4645 |
| Full Name | Mr James William White Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 1362 S Main St, Ellijay, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821049347 | NPI | - | NPPES |
| 110205 | Other | GA | MEDICARE PART A PROVIDER NUMBER |
| 115683 | Other | GA | GILMER NURSING HOME MEDICARE PROVIDER NUMBER |
| HOSP34 | Other | GA | MEDICARE PART B PROVIDER NUMBER |
| 190963580 | Other | GA | GILMER NURSING HOME NPI NUMBER |
| 11U205 | Other | GA | MEDICARE SWING BED PROVIDER NUMBER |
| 1275690703 | Other | GA | NORTH GEORGIA MEDICAL CENTER SWING BED NPI |
| 628576069B | Medicaid | GA | |
| 000002043A | Medicaid | GA | |
| 1952395097 | Other | GA | NPI NORTH GEORGIA MEDICAL CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN124549 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams Southeast Llc | 3870880792 | 69 |
| Entity Name | Union County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
| Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
| Entity Name | Amsol Anesthetists Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| Entity Name | Progressive Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
| Entity Name | Redmond Anesthesia And Pain Treatment, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821350984 PECOS PAC ID: 4880841741 Enrollment ID: O20120828000499 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Greater Atlanta Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285043158 PECOS PAC ID: 7315264645 Enrollment ID: O20150326000819 |
| Entity Name | Coastal Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James William White Jr, CRNA 866 Wooten Lake Rd Nw, Kennesaw, GA 30144-1339 Ph: (770) 517-4819 | Mr James William White Jr, CRNA 1362 S Main St, Ellijay, GA 30540-5410 Ph: (706) 276-4741 |