DR. JOHN HENRY WHITE III MD
NPI 1619430964
Emergency Medicine in Jackson, MS
About Dr. John Henry White Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN HENRY WHITE III MD (NPI 1619430964) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Florida (ME158061) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mease Countryside Hospital, and is a graduate of University Of Alabama School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. John Henry White Iii 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.
Medicare Billing Reassignments
3Medicare enrollment records show John White reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pensacola, FL 32534
- Reassigned Medicare billing, Florida enrollment
- 367 clinicians in this Medicare group
Dunedin, FL 34698
- Reassigned Medicare billing, Florida enrollment
- 28 clinicians in this Medicare group
Arco, ID 83213
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1427062181 (Idaho)
- 17 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mease Countryside Hospital
Acute Care Hospitals · Safety Harbor, FLLost Rivers Medical Center
Critical Access Hospitals · Arco, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 John White's NPI number?
The NPI number for John White is 1619430964. It was assigned to this individual provider in the NPPES registry on April 12, 2019.
Where is John White located?
John White practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is John White's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John White enrolled in Medicare?
Yes. John 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 John White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John White reassigns Medicare benefits to 3 organizations: Cep America LLC (Pensacola, FL), Coastline Emergency Physicians LLC (Dunedin, FL) and Lost Rivers Medical Center (Arco, ID). 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 John White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John White accept?
Health plans from PacificSource Health Plans and Select Health list John 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.
Is John White affiliated with any hospitals?
According to CMS data, John White is affiliated with Mease Countryside Hospital and Lost Rivers Medical Center.
When was this NPI record last updated?
The NPPES record for John White was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. John Henry White III, MD · NPI 1619430964
Emergency Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 12, 2019.
## Identity
- **NPI:** 1619430964 (Entity type: Individual)
- **Enumerated:** April 12, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME158061 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1295597789, Pensacola, FL); Coastline Emergency Physicians LLC (NPI 1891744769, Dunedin, FL); Lost Rivers Medical Center (NPI 1114925047, Arco, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619430964) · Data from the CMS NPPES public registry.