DEANDRA LASHAY WHITE APRNC
NPI 1174116446
Nurse Practitioner - Family in Locust Grove, GA

Active since February 17, 2021PECOS EnrolledAccepts Medicare Assignment
3366 HIGHWAY 42 S STE 110, LOCUST GROVE, GA 30248(770) 898-4339 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Dec 5, 2025, Oct 9, 2025 and 1 more (4 updates tracked since 2021).

About Deandra Lashay White Aprnc NPPES

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

DEANDRA LASHAY WHITE APRNC (NPI 1174116446) is an individual family provider in Locust Grove, Georgia, licensed in Georgia (APRN-NP334550) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174116446
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEANDRA LASHAY WHITECredential: APRNC
Location Address3366 HIGHWAY 42 S STE 110Locust Grove, GA 30248-3039
Mailing Address3366 Highway 42 S Ste 110Locust Grove, GA 30248-3039 · (770) 898-4339 · Fax (770) 898-4134
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 17, 2021
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1174116446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · APRN-NP334550
3366 HIGHWAY 42 S STE 110, Locust Grove, GA 30248

Other Identifiers 1

OtherAPRN-11010982FL · Florida License

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

Deandra Lashay White Aprnc 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.

PECOS PAC ID2365857554
PECOS Enrollment IDI20230629000371
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3366 HIGHWAY 42 S STE 110
LOCUST GROVE, GA 30248

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 Deandra White's NPI number?

The NPI number for Deandra White is 1174116446. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Deandra White located?

Deandra White practices at 3366 Highway 42 S Ste 110, Locust Grove, GA 30248. The listed phone number is (770) 898-4339.

What is Deandra White's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deandra White enrolled in Medicare?

Yes. Deandra 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.

When was this NPI record last updated?

The NPPES record for Deandra White was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.