Deidra White is a Marietta, Georgia based nurse practitioner with 28 years of experience in . She completed her graduation in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Deidra White is 117058 in Georgia. Her current practice location is 699 Church St Ne, Suite 340, Marietta. Patients can reach her at 678-355-1620. Deidra White is NP and her NPI number (Unique professional ID assigned by NPPES) is 1568595775. Deidra White has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Deidra White speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Deidra White
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1996
Accepts Medicare Assignment:
Yes
Practice Address:
699 Church St Ne, Suite 340, Marietta, Georgia, 30060-1110
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1254479223
Enrollment ID:
I20091111000567
NPI Number:
1568595775
NPI Enumeration Date:
14 Mar, 2007
NPI Last Update On:
11 Sep, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deidra White are as mentioned below.
License Number
Specialization
State
Status
117058
Georgia
Primary
RN 117058 NP
Family
Georgia
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Deidra White is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Wellstar Medical Group, Llc (6709065402)
1658
Other Medical Identifiers:
Other legacy medical identifiers associated with Deidra White such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00810917B
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Deidra White 1106 Anemone Way Nw, Acworth, Georgia
Zip:
30102-8173
Phone Number:
404-425-8479
Patients can reach Deidra White at 699 Church St Ne, Suite 340, Marietta, Georgia or can call to book an appointment on 678-355-1620.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.