JASON LANTZ WHITE IDMT
NPI 1689946071
Military Health Care Provider - Independent Duty Medical Technicians in Moody A F B, GA

Active since February 01, 2012
3280 MITCHELL BLVD, MOODY A F B, GA 31699(229) 257-2105 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Lantz White Idmt NPPES

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

JASON LANTZ WHITE IDMT (NPI 1689946071) is an individual independent duty medical technicians provider in Moody A F B, Georgia and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1689946071
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJASON LANTZ WHITECredential: IDMT
Location Address3280 MITCHELL BLVDMoody A F B, GA 31699-1500
Mailing Address3807 Robin LnValdosta, GA 31605-5124 · (229) 560-1598
Sole ProprietorNo
Enumeration DateFebruary 1, 2012
NPI 1689946071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
3280 MITCHELL BLVD, Moody A F B, GA 31699

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.

Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Counselor (Mental Health)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699

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 Jason White's NPI number?

The NPI number for Jason White is 1689946071. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Where is Jason White located?

Jason White practices at 3280 Mitchell Blvd, Moody A F B, GA 31699. The listed phone number is (229) 257-2105.

What is Jason White's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jason White was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.