JENNIFER MARIE WHITE MD
NPI 1114377710
Pediatrics - Pediatric Emergency Medicine in Charleston, SC

Q: What is Jennifer White's NPI number?

The NPI number for Jennifer White is 1114377710. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Jennifer White's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer White was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 15, 2016PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jennifer Marie White Md NPPES

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

JENNIFER MARIE WHITE MD (NPI 1114377710) is an individual pediatric emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (95412) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2016).

NPPES Registry Identity

NPI1114377710

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameJENNIFER MARIE WHITECredential: MD

Location Address171 ASHLEY AVECharleston, SC 29425-5718

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2016

Enumeration DateJune 15, 2016

Last NPPES UpdateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1114377710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in SC · 95412

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 4301109567 (MI)

171 ASHLEY AVE, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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)

Jennifer Marie White Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678865771

PECOS Enrollment IDI20260204001712

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.

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