SAMANTHA MACKENZIE WHITE PA
NPI 1710453980
Physician Assistant in Charlotte, NC

Active since October 16, 2018PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, May 17, 2023, Mar 22, 2023 and 31 more (34 updates tracked since 2018).

About Samantha Mackenzie White Pa NPPES

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

SAMANTHA MACKENZIE WHITE PA (NPI 1710453980) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-09065) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710453980
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MACKENZIE WHITECredential: PA
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 16, 2018
Last NPPES UpdateJuly 24, 202434 updates tracked since enumeration
NPI 1710453980 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 NC · 0010-09065
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.
1001 BLYTHE BLVD, Charlotte, NC 28203

Accepted 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

Samantha Mackenzie White Pa 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 ID4688913866
PECOS Enrollment IDI20190924002824
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 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

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 Samantha White's NPI number?

The NPI number for Samantha White is 1710453980. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Samantha White located?

Samantha White practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.

What is Samantha White's specialty?

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

Is Samantha White enrolled in Medicare?

Yes. Samantha 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 Samantha White accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Samantha 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 Samantha White was last updated on July 24, 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.