BENNIE R WHITE JR MD INC
NPI 1306019104
Clinic/Center - Primary Care in Jackson, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bennie R White Jr Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bennie R White Jr MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Bennie R White Jr MD Inc enrolled in Medicare?
Yes. Bennie R White Jr MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bennie R White Jr MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bennie R White Jr MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Bennie R White Jr Md Inc · NPI 1306019104
Primary Care organization in Jackson, Georgia. Organization record, active in the CMS NPPES registry since April 12, 2008.
## Identity
- **NPI:** 1306019104 (Entity type: Organization)
- **Enumerated:** April 12, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Bennie White, PRESIDENT
## Practice location
- **Address:** 794 MCDONOUGH RD, SUITE 105, Jackson, GA 30233-1572
- **Phone:** (770) 775-2341 · **Fax:** (770) 775-3668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1306019104) · Data from the CMS NPPES public registry.