DR. GORDON ELLIS WHITE II M.D.
NPI 1639169485
Military Health Care Provider in Danville, IL
About Dr. Gordon Ellis White Ii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GORDON ELLIS WHITE II M.D. (NPI 1639169485) is an individual military health care provider provider in Danville, Illinois, licensed in Louisiana (025398) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of University Of Texas Medical Branch At Galveston (2000).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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. Gordon Ellis White Ii M.d. 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 Gordon White reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Grove, LA 71263
- Reassigned Medicare billing, Louisiana enrollment
- 41 clinicians in this Medicare group
Pineville, LA 71360
- Reassigned Medicare billing, Louisiana enrollment
- 5 clinicians in this Medicare group
Simmesport, LA 71369
- Reassigned Medicare billing, Louisiana enrollment
- 2 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.
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.
DANVILLE, IL 61832
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 Gordon White's NPI number?
The NPI number for Gordon White is 1639169485. It was assigned to this individual provider in the NPPES registry on October 24, 2005.
Where is Gordon White located?
Gordon White practices at 1900 E Main St, Danville, IL 61832. The listed phone number is (318) 801-4070.
What is Gordon White's specialty?
The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.
Is Gordon White enrolled in Medicare?
Yes. Gordon 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 Gordon White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gordon White reassigns Medicare benefits to 3 organizations: West Carroll Health Systems LLC (Oak Grove, LA), Cenla Occupational Medicine Services (Pineville, LA) and Country Clinic, LLC (Simmesport, LA). 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 Gordon White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gordon White accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Gordon 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 Gordon White was last updated on June 8, 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.
# Dr. Gordon Ellis White II, M.D. · NPI 1639169485
Military Health Care Provider provider in Danville, Illinois. Individual provider, active in the CMS NPPES registry since October 24, 2005.
## Identity
- **NPI:** 1639169485 (Entity type: Individual)
- **Enumerated:** October 24, 2005
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **State license:** 025398 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 E MAIN ST, Danville, IL 61832-5100
- **Phone:** (318) 801-4070 · **Fax:** (318) 554-4807
## 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): West Carroll Health Systems LLC (NPI 1386700888, Oak Grove, LA); Cenla Occupational Medicine Services (NPI 1427399195, Pineville, LA); Country Clinic, LLC (NPI 1609825892, Simmesport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2000
## Record status
- **NPPES last updated:** June 8, 2021
- **Other identifiers:** Medicaid 1423688 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639169485) · Data from the CMS NPPES public registry.