DR. JOHN A WHITE (M.D.) – Obstetrics & Gynecology Physician, NPI 1053422709

DR. JOHN A WHITE (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. ME 0039128 (FL). The NPI Number for DR. JOHN A WHITE (M.D.) is 1053422709

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN A WHITE (M.D.)
NPI
1053422709
Phone
(386) 255-0901
Address
533 N. CLYDE MORRIS BLVD
Enumeration Date
31 August 2006
Last Update Date
21 August 2009

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3862550901
Graduation Year
1980 (46 years ago)
PAC ID
9436347184
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20101221001016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN A WHITE (M.D.)

  • 533, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    STE A

    DAYTONA BEACH, FL 32114

    Phone: (386) 255-0901

    Fax: (386) 255-4454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $6,697.

Total Amount is formed as General ($6,697) + Research ($0) + Ownership ($0) = $6,697.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: MIMEDX Group, Inc. ($6,400).

Total Amount

$6,697

General + Research + Ownership

Payments

26

Total payment records

General Amount

$6,697

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101221001016IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes361360$0
99213Established patient office or other outpatient visit, 20-29 minutes14086$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
99215Established patient office or other outpatient visit, 40-54 minutes1917$0
57456Scraping of cervix using an endoscope1412$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

Can I cross-check DR. JOHN A WHITE (M.D.) using NPI 1053422709?
NPI 1053422709 belongs to DR. JOHN A WHITE (M.D.); compare other details if you need extra assurance.
Would DR. JOHN A WHITE (M.D.) appear as active to a payer?
You can treat DR. JOHN A WHITE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JOHN A WHITE (M.D.)?
DR. JOHN A WHITE (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. JOHN A WHITE (M.D.) registered?
Use Daytona Beach, Florida as the headline location for DR. JOHN A WHITE (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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