MARIE L WHITE PA-C
NPI 1710138680
Physician Assistant in Jackson, GA

Q: What is Marie White's NPI number?

The NPI number for Marie White is 1710138680. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Q: What is Marie White's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie White was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 09, 2008PECOS Enrolled

1502 W 3RD ST, JACKSON, GA 30233(678) 774-0430(770) 775-3410 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Marie L White Pa-c NPPES

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

MARIE L WHITE PA-C (NPI 1710138680) is an individual physician assistant in Jackson, Georgia, licensed in Georgia (005122) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710138680

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIE L WHITECredential: PA-C

Location Address1502 W 3RD STJackson, GA 30233-1979

Mailing Address1502 W 3rd StJackson, GA 30233-1979 · (678) 774-0430 · Fax (770) 775-3410

Phone(678) 774-0430

Fax(770) 775-3410

Sole ProprietorNo

Enumeration DateOctober 9, 2008

Last NPPES UpdateFebruary 3, 2009

✔ NPI 1710138680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 005122

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1502 W 3RD ST, Jackson, GA 30233

Open in Google Maps ↗

Other Identifiers 1

Medicare PIN511I970619GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie L White Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEVERLY SHAW FNP-C

Nurse Practitioner (Family)