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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: July 26, 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, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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
THE NEMOURS FOUNDATION
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-4000

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.

What insurance does Stacy White accept?

Health plans from AmeriHealth Caritas Next and Molina Healthcare 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 with the weekly NPPES data releases published by CMS.