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BENNIE R. WHITE JR. MD
NPI 1376575225
Family Medicine in Jackson, GA

Active since July 07, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D1058495 · Waiver
794 MCDONOUGH RD, SUITE 105, JACKSON, GA 30233(770) 775-2341(770) 775-3668 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bennie R. White Jr. Md NPPES

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

BENNIE R. WHITE JR. MD (NPI 1376575225) is an individual family medicine provider in Jackson, Georgia, licensed in Georgia (056245) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 14, 2027, and is affiliated with Wellstar Sylvan Grove Medical Center.

NPPES Registry Identity

NPI1376575225
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENNIE R. WHITE JR.Credential: MD
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
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1988
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 18, 2012
✔ NPI 1376575225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 056245
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
794 MCDONOUGH RD, Jackson, GA 30233
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Other Identifiers 2

Medicare PIN08CBCKHGA
Medicaid345029068AGA

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

Bennie R. White Jr. Md 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 ID3870592645
PECOS Enrollment IDI20070326000211
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1058495

Bennie R White Junior MD Incorporated · Jackson, GA
Active · expires Dec 14, 2027
CLIA Number11D1058495
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorBennie White MD
Laboratory Phone(770) 775-2341
Laboratory LocationBennie R White Junior MD Incorporated794 Mcdonough Road Suite 105, Jackson, GA 30233
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
296 services31 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
226 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Sylvan Grove Medical Center

Critical Access Hospitals · Jackson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111319
Location1050 Mcdonough RoadJackson, GA 30233 · Butts County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30233 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%6,052 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
26%769 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
BENNIE R WHITE JR MD INC
Clinic/Center (Primary Care)
794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233
Butts County (770) 775-2341
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
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 White's NPI number?

The NPI number for Bennie White is 1376575225. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Bennie White located?

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

What is Bennie White's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bennie White enrolled in Medicare?

Yes. Bennie 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.

Does Bennie White hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1058495) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bennie White affiliated with any hospitals?

According to CMS data, Bennie White is affiliated with Wellstar Sylvan Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Bennie White was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.