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BEAU RANDOLPH WHITE MD
NPI 1982225579
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since May 05, 2020PECOS Enrolled
1215 LEE ST BOX 801016, CHARLOTTESVILLE, VA 22908(434) 924-2663(434) 244-4454 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beau Randolph White Md NPPES

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

BEAU RANDOLPH WHITE MD (NPI 1982225579) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116040797) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1982225579
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBEAU RANDOLPH WHITECredential: MD
Location Address1215 LEE ST BOX 801016Charlottesville, VA 22908-0001
Mailing Address1479 Gray Stone CtCharlottesville, VA 22902-8793 · (252) 230-5547
Phone(434) 924-2663
Fax(434) 244-4454
Sole ProprietorYes
Enumeration DateMay 5, 2020
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1982225579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in VA · 0116040797✔ Licensed in NC · 261467
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST BOX 801016, Charlottesville, VA 22908
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Secondary Practice Location 1

Location 1130 Mason Farm Rd, 3159C Bioinformatics BuildingChapel Hill, NC 25799 · Phone (919) 966-9071 · Fax (919) 966-7956

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beau Randolph White Md 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.

Other Providers at the Same Location NPPES 3

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

CLARE KATHRYN GREEN
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 801016
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2663
DR. ZEESHAN AKHTAR MD
Orthopaedic Surgery
1215 LEE ST BOX 801016
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2663
HENRY BAIRD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 801016
CHARLOTTESVILLE, VA 22908
Charlottesville City (843) 754-7354

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 Beau White's NPI number?

The NPI number for Beau White is 1982225579. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Beau White located?

Beau White practices at 1215 Lee St Box 801016, Charlottesville, VA 22908. The listed phone number is (434) 924-2663.

What is Beau White's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Beau White enrolled in Medicare?

Yes. Beau White is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beau White was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.