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DR. GORDON ELLIS WHITE II M.D.
NPI 1639169485
Military Health Care Provider in Danville, IL

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
1900 E MAIN ST, DANVILLE, IL 61832(318) 801-4070(318) 554-4807 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1639169485
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDR. GORDON ELLIS WHITE IICredential: M.D.
Location Address1900 E MAIN STDanville, IL 61832-5100
Mailing Address1900 E Main StDanville, IL 61832-5100 · (318) 801-4070 · Fax (318) 554-4807
Phone(318) 801-4070
Fax(318) 554-4807
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2000
Enumeration DateOctober 24, 2005
Last NPPES UpdateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1639169485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in LA · 025398
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 025398 (LA)
1900 E MAIN ST, Danville, IL 61832
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Secondary Practice Location 1

Location 1201 4th St, Medical Plaza, Ste. 2EAlexandria, LA 71301-8421 · Phone (318) 443-9400 · Fax (318) 442-9406

Other Identifiers 1

Medicaid1423688LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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

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.

PECOS PAC ID8426957317
PECOS Enrollment IDI20040108000897
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.

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.

PLAMEN ALEXANDROV PT
Physical Therapist
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 554-5235
DR. JENNIFER AILEEN REEDY OTD
Occupational Therapist (Mental Health)
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 766-4933
TAYLOR GROVE
Pharmacist
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 554-4747
DR. JAMES HENRY FALK PH.D.
Psychologist (Clinical)
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 554-5197
ALISON C CIULINI
Social Worker
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 554-3000
MRS. NANCY JOANN ALLEN M.S. R.D.
Dietitian, Registered
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 554-5728
PAMELA ANN SWAIM-MEJIA PA-C
Physician Assistant
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (217) 554-3186
JAGADEESHU K SIRAM M.D
Hospitalist
1900 E MAIN ST
DANVILLE, IL 61832
Vermilion County (800) 320-8387

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.

What insurance does Gordon White accept?

Health plans from Blue Cross and Blue Shield of Louisiana 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.