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BENNIE R WHITE JR MD INC
NPI 1306019104
Clinic/Center - Primary Care in Jackson, GA

Active since April 12, 2008
794 MCDONOUGH RD, SUITE 105, JACKSON, GA 30233(770) 775-2341(770) 775-3668 Get Directions Write a Review

NPPES record last updated: April 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bennie R White Jr Md Inc NPPES

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

BENNIE R WHITE JR MD INC (NPI 1306019104) is a healthcare organization registered as a primary care in Jackson, Georgia and active in the NPI registry since April 2008. The organization lists Bennie Russell White, President, as its authorized official.

NPPES Registry Identity

NPI1306019104
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBENNIE R WHITE JR MD INC
Location Address794 MCDONOUGH RD, SUITE 105Jackson, GA 30233-1572
Mailing Address794 Mcdonough Rd, Suite 105Jackson, GA 30233-1572 · (770) 775-2341 · Fax (770) 775-3668
Phone(770) 775-2341
Fax(770) 775-3668
Organization SubpartNo
Authorized OfficialBennie Russell WhitePresident · (770) 775-2341
Enumeration DateApril 12, 2008
✔ NPI 1306019104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 56245
794 MCDONOUGH RD, Jackson, GA 30233
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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.

JACKSON DIALYSIS CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (770) 504-9525
SOUTH GEORGIA TREATMENT, INC
Clinic/Center (Methadone)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (770) 775-9044
DR. DERRELL LEVOHN LEGGETT M.D.
Pain Medicine (Interventional Pain Medicine)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (470) 251-5300
MRS. JAIMI MARIE NORRELL NP-C
Nurse Practitioner (Family)
794 MCDONOUGH RD, 111
JACKSON, GA 30233
Butts County (470) 251-5300
BENNIE R. WHITE JR. MD
Family Medicine
794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233
Butts County (770) 775-2341
RENAL TREATMENT CENTERS MID ATLANTIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (770) 504-0365
JENNIFER MONSRUD NP
Nurse Practitioner (Family)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (470) 251-5300
SELECT INTERVENTIONAL PAIN, PC
Pain Medicine (Interventional Pain Medicine)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (470) 251-5300

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 Bennie R White Jr MD Inc's NPI number?

The NPI number for Bennie R White Jr MD Inc is 1306019104. It was assigned to this organization in the NPPES registry on April 12, 2008.

Where is Bennie R White Jr MD Inc located?

Bennie R White Jr MD Inc is located at 794 Mcdonough Rd Suite 105, Jackson, GA 30233. The listed phone number is (770) 775-2341.

What is Bennie R White Jr MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Bennie R White Jr MD Inc was last updated on April 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.