JODIAN WHITE
NPI 1104299981
Nurse Practitioner - Family in Tyrone, GA
About Jodian White NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODIAN WHITE (NPI 1104299981) is an individual family provider in Tyrone, Georgia, licensed in Georgia (RN198115) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jodian White is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30290 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jodian White's NPI number?
The NPI number for Jodian White is 1104299981. It was assigned to this individual provider in the NPPES registry on November 3, 2015.
Where is Jodian White located?
Jodian White practices at 1528 Joel Cowan Pkwy, Tyrone, GA 30290. The listed phone number is (678) 335-4116.
What is Jodian White's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jodian White enrolled in Medicare?
Yes. Jodian White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jodian White accept?
Health plans from CareSource list Jodian 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 Jodian White was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Jodian White · NPI 1104299981
Family physician in Tyrone, Georgia. Individual provider, active in the CMS NPPES registry since November 3, 2015.
## Identity
- **NPI:** 1104299981 (Entity type: Individual)
- **Enumerated:** November 3, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN198115 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1528 JOEL COWAN PKWY, Tyrone, GA 30290
- **Phone:** (678) 335-4116 · **Fax:** (833) 973-4637
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104299981) · Data from the CMS NPPES public registry.