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RANDALL GLEN WHITE JR. MD
NPI 1295199016
Pediatrics in Bossier City, LA

Active since April 07, 2016PECOS Enrolled
2300 HOSPITAL DR STE 120, BOSSIER CITY, LA 71111(318) 212-7982(318) 212-7989 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2021, Jul 16, 2019 (2 updates tracked since 2019).

About Randall Glen White Jr. Md NPPES

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

RANDALL GLEN WHITE JR. MD (NPI 1295199016) is an individual pediatrics provider in Bossier City, Louisiana, licensed in Louisiana (313083) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295199016
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRANDALL GLEN WHITE JR.Credential: MD
Location Address2300 HOSPITAL DR STE 120Bossier City, LA 71111
Mailing Address1202 Louisiana AveShreveport, LA 71101-3910 · (318) 212-8951 · Fax (318) 212-6752
Phone(318) 212-7982
Fax(318) 212-7989
Sole ProprietorYes
Enumeration DateApril 7, 2016
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1295199016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 313083
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2300 HOSPITAL DR STE 120, Bossier City, LA 71111
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Other Identifiers 1

Medicaid2417380LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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)

Randall Glen White Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 71111 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 3

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

DR. ROBERT BORDEN WILSON M.D.
Pediatrics
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7982
WK PREFERRED PEDIATRICS
Pediatrics
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7982
ELISE FONTENOT EDWARDS MD
Pediatrics
2300 HOSPITAL DR STE 120
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7982

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 Randall White's NPI number?

The NPI number for Randall White is 1295199016. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Randall White located?

Randall White practices at 2300 Hospital Dr Ste 120, Bossier City, LA 71111. The listed phone number is (318) 212-7982.

What is Randall White's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Randall White enrolled in Medicare?

Yes. Randall White is registered in the Medicare PECOS enrollment system.

What insurance does Randall White accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Randall 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 Randall White was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.