DEANDRA LASHAY WHITE APRNC
NPI 1174116446
Nurse Practitioner - Family in Locust Grove, GA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Deandra White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, GA 30233
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Deandra White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deandra White reassigns Medicare benefits to 2 organizations: Select Interventional Pain, PC (Jackson, GA) and Piedmont Medical Care Corporation (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deandra White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Deandra Lashay White, APRNC · NPI 1174116446
Family physician in Locust Grove, Georgia. Individual provider, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1174116446 (Entity type: Individual)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP334550 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3366 HIGHWAY 42 S STE 110, Locust Grove, GA 30248-3039
- **Phone:** (770) 898-4339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Select Interventional Pain, PC (NPI 1750789947, Jackson, GA); Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 3, 2026
- **Other identifiers:** Other APRN-11010982 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1174116446) · Data from the CMS NPPES public registry.