DR. PAUL KEITH WHITE O.D.
NPI 1104920784
Optometrist in Mcdonough, GA
About Dr. Paul Keith White O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL KEITH WHITE O.D. (NPI 1104920784) is an individual optometrist in Mcdonough, Georgia, licensed in Georgia (OPT002238) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 5, 2028, and maintains a secondary practice location in Newnan.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Paul Keith White O.d. 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2336503
Dr Paul White LLC · Mcdonough, GAAreas 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 30253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCDONOUGH, GA 30253
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 Paul White's NPI number?
The NPI number for Paul White is 1104920784. It was assigned to this individual provider in the NPPES registry on September 12, 2006.
Where is Paul White located?
Paul White practices at 135 Willow Ln, Mcdonough, GA 30253. The listed phone number is (678) 432-3093.
What is Paul White's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Paul White enrolled in Medicare?
Yes. Paul 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.
Does Paul White hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2336503) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Paul White accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Paul 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 Paul White was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Paul Keith White, O.D. · NPI 1104920784
Optometrist provider in Mcdonough, Georgia. Individual provider, active in the CMS NPPES registry since September 12, 2006.
## Identity
- **NPI:** 1104920784 (Entity type: Individual)
- **Enumerated:** September 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT002238 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 135 WILLOW LN, Mcdonough, GA 30253-6574
- **Phone:** (678) 432-3093
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** State University Of New York - State College Optometry, class of 1996
## Record status
- **NPPES last updated:** April 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104920784) · Data from the CMS NPPES public registry.