DR. JERRY WADE WHITE MD
NPI 1992775209
Pediatrics - Developmental - Behavioral Pediatrics in Fort Campbell, KY

Q: What is Jerry White's NPI number?

The NPI number for Jerry White is 1992775209. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Jerry White's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Jerry White was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 26, 2006

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-4677(270) 956-0444 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2019, Jan 31, 2019 (2 updates tracked since 2019).

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About Dr. Jerry Wade White Md NPPES

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

DR. JERRY WADE WHITE MD (NPI 1992775209) is an individual developmental - behavioral pediatrics provider in Fort Campbell, Kentucky, licensed in California (C52893) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1992775209

Entity TypeIndividualMale

Primary Taxonomy2080P0006X

Provider Legal NameDR. JERRY WADE WHITECredential: MD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-4677 · Fax (270) 956-0444

Phone(270) 798-4677

Fax(270) 956-0444

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1992775209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in CA · C52893✔ Licensed in LA · MD.018896

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

650 JOEL DR, Fort Campbell, KY 42223

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