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DR. STACY ALLAN WHITE JR. M.D.
NPI 1053750323
Radiology - Pediatric Radiology in Jacksonville, FL

Active since June 20, 2013PECOS Enrolled
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3694(904) 697-3927 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2022, Jan 21, 2022, Aug 26, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Stacy Allan White Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY ALLAN WHITE JR. M.D. (NPI 1053750323) is an individual pediatric radiology provider in Jacksonville, Florida, licensed in Florida (ME144263) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053750323
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDR. STACY ALLAN WHITE JR.Credential: M.D.
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102
Phone(904) 697-3694
Fax(904) 697-3927
Sole ProprietorNo
Enumeration DateJune 20, 2013
Last NPPES UpdateAugust 3, 20224 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1053750323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses✔ Licensed in FL · ME144263✔ Licensed in PA · MD465719
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
807 CHILDRENS WAY, Jacksonville, FL 32207
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Secondary Practice Locations 2

Location 11600 SW Archer RdGainesville, FL 32610-8426 · Phone (352) 265-0291 · Fax (352) 265-0279
Location 23401 Civic Center Blvd, Division of RadiologyPhiladelphia, PA 19104 · Phone (215) 590-1959

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Allan White Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Stacy White reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Nemours Foundation
Same address
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Delaware and Florida enrollments
  • 526 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600
University Of Florida Jacksonville Physicians Inc
2.3 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660
Florida Clinical Practice Association Inc
62 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Nemours New Jersey Physician Practice, P.C.
754 mi
Pediatrics
1280 ALMONESSON RD
Deptford, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Nemours New Jersey Physician Practice PC
  • 183 clinicians in this Medicare group
NPI 1265874713 (800) 416-4441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH FRANZ-JOSEPH HEARN MD
Pediatrics
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
MR. HUGH E. GRIFFENKRANZ PA-C
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3737
JACQUELINE M NOE
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ERIC P. SHERLIN R.PH
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3601
KELLY MARIE SUMMERS ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ROBERT C SPRECHER MD
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3694
DR. DOREEN RADJENOVIC ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3759
GRACE ELIZABETH ALLEMAN SLP
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (907) 697-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy White's NPI number?

The NPI number for Stacy White is 1053750323. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Stacy White located?

Stacy White practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3694.

What is Stacy White's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Stacy White enrolled in Medicare?

Yes. Stacy White is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy White reassigns Medicare benefits to 4 organizations: The Nemours Foundation (Jacksonville, FL), University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Florida Clinical Practice Association Inc (Gainesville, FL) and Nemours New Jersey Physician Practice, P.C. (Deptford, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy White accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health list Stacy White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy White was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.