DR. SHELBY T WHITE MD
NPI 1720036890
Family Medicine in Centreville, MS

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
178 HIGHWAY 24 E STE A, CENTREVILLE, MS 39631(601) 890-0520(601) 645-5788 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, Apr 8, 2025, Aug 21, 2023 (3 updates tracked since 2023).

About Dr. Shelby T White Md NPPES

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

DR. SHELBY T WHITE MD (NPI 1720036890) is an individual family medicine provider in Centreville, Mississippi, licensed in Mississippi (36465) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lasalle General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720036890
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELBY T WHITECredential: MD
Location Address178 HIGHWAY 24 E STE ACentreville, MS 39631-4171
Mailing Address178 Highway 24 E Ste ACentreville, MS 39631-4171 · (601) 890-0520 · Fax (601) 645-5788
Fax(601) 645-5788
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1720036890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 36465
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
178 HIGHWAY 24 E STE A, Centreville, MS 39631

Other Identifiers 1

Medicaid08923390MS

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. Shelby T White Md 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 ID9638103609
PECOS Enrollment IDI20050920001022, I20250624001661, I20260226002271
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.

Medicare Billing Reassignments

17

Medicare enrollment records show Shelby White reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
178 HIGHWAY 24 E
Centreville, MS 39631
  • Reassigned Medicare billing, Mississippi enrollment
  • Also billed through NPI 1770574048 (Mississippi), NPI 1134166812 (Mississippi)
  • 14 clinicians in this Medicare group
Internal Medicine
187 9TH STREET
Jena, LA 71342
  • Reassigned Medicare billing, Louisiana enrollment
  • 67 clinicians in this Medicare group
Emergency Medicine
187 9TH STREET
Jena, LA 71342
  • Reassigned Medicare billing, Louisiana enrollment
  • 72 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL DR
Tylertown, MS 39667
  • Reassigned Medicare billing, Mississippi enrollment
  • 61 clinicians in this Medicare group
Hospitalist
100 HOSPITAL DR
Tylertown, MS 39667
  • Reassigned Medicare billing, Mississippi enrollment
  • 62 clinicians in this Medicare group
Emergency Medicine
1560 SUMRALL RD
Columbia, MS 39429
  • Reassigned Medicare billing, Mississippi enrollment
  • 81 clinicians in this Medicare group
Emergency Medicine
1102 ROSE ST
Prentiss, MS 39474
  • Reassigned Medicare billing, Mississippi enrollment
  • 58 clinicians in this Medicare group
Hospitalist
1102 ROSE ST
Prentiss, MS 39474
  • Reassigned Medicare billing, Mississippi enrollment
  • 58 clinicians in this Medicare group
Emergency Medicine
130 HIGHLAND PKWY
Picayune, MS 39466
  • Reassigned Medicare billing, Mississippi enrollment
  • 78 clinicians in this Medicare group
Emergency Medicine
305 W MOODY ST
Poplarville, MS 39470
  • Reassigned Medicare billing, Mississippi enrollment
  • 36 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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lasalle General Hospital

Acute Care Hospitals · Jena, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190145
Location187 Ninth St/Hwy 84 WestJena, LA 71342 · Lasalle County

Marion General Hospital

Acute Care Hospitals · Columbia, MS
OwnershipGovernment - Local
CMS Certification Number250085
Location1560 Sumrall RdColumbia, MS 39429 · Marion County
Emergency services

Field Health System

Critical Access Hospitals · Centreville, MS
OwnershipGovernment - Local
CMS Certification Number251309
Location178 Highway 24Centreville, MS 39631 · Wilkinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39631 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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 2

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

Clinic/Center (Rural Health)
178 HIGHWAY 24 E STE A
CENTREVILLE, MS 39631
Nurse Practitioner (Family)
178 HIGHWAY 24 E STE A
CENTREVILLE, MS 39631

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 Shelby White's NPI number?

The NPI number for Shelby White is 1720036890. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Shelby White located?

Shelby White practices at 178 Highway 24 E Ste A, Centreville, MS 39631. The listed phone number is (601) 890-0520.

What is Shelby White's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelby White enrolled in Medicare?

Yes. Shelby 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 Shelby White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby White reassigns Medicare benefits to 17 organizations: Field Memorial Community Hospital (Centreville, MS), Jena Ess Hospitalist LLC (Jena, LA), Jena Ess LLC (Jena, LA), Rh Emergency Medicine Of Walthall General LLC (Tylertown, MS), Rh Hospitalist Medicine Of Walthall General LLC (Tylertown, MS) and 12 more organizations, listed in the Medicare section above. 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 Shelby White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby White accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Shelby 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.

Is Shelby White affiliated with any hospitals?

According to CMS data, Shelby White is affiliated with Lasalle General Hospital, Marion General Hospital and Field Health System.

When was this NPI record last updated?

The NPPES record for Shelby White was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.