ANDREW DAVID WHITE (PA-S) – Physician Assistant, NPI 1164824546

ANDREW DAVID WHITE (PA-S) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-S. They hold a License No. PA173943 (OR). The NPI Number for ANDREW DAVID WHITE (PA-S) is 1164824546

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DAVID WHITE (PA-S)
NPI
1164824546
Phone
(941) 444-0011
Address
1131 S Orange Ave
Enumeration Date
17 September 2014
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712202701
Graduation Year
2015 (11 years ago)
PAC ID
8123329521
Group Practice PAC ID
3476786609
Professional Enrollment ID
I20251009004711
Address ID
OR970557868SA37400STXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:11State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ANDREW DAVID WHITE (PA-S)

  • 1131 S Orange Ave

    Orlando, FL 328061226

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • 1400 N US Highway 441 Ste 524

    The Villages, FL 321598984

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • 535 NE 6TH AVE

    ESTACADA, OR 970239312

    Phone: (503) 630-8550

    Type: Location

  • 4555 N WILLIAMS AVE

    PORTLAND, OR 972172955

    Phone:

    Type: Mailing

  • 24461 E WELCHES RD

    WELCHES, OR 970677067

    Phone: (971) 333-0494

    Type: Location

  • 4815 FRATTINA ST

    AVE MARIA, FL 341425121

    Phone: (971) 275-3741

    Type: Mailing

  • 13770 PLANTATION RD # 103

    FORT MYERS, FL 339124460

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • PO BOX 546

    GRESHAM, OR 970300132

    Phone: (541) 782-8242

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$22
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: 2025-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151208002986IPhysician AssistantORTBD
I20251009004711IPhysician AssistantFLTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month6618$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month3914$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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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: 3476786609View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Nurse PractitionerOR
Clinical Social WorkerOR
Physician AssistantOR
N E U R O L O G YCA
Nurse PractitionerOR
Mental Health CounselorOR
Nurse PractitionerOR
-OR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW DAVID WHITE (PA-S)'s NPI?
Yes. ANDREW DAVID WHITE (PA-S) is listed with NPI 1164824546 in the public NPI dataset.
Is ANDREW DAVID WHITE (PA-S) still practicing?
ANDREW DAVID WHITE (PA-S) is currently listed as active in the public NPI registry.
What taxonomy line describes ANDREW DAVID WHITE (PA-S)?
For research purposes, treat ANDREW DAVID WHITE (PA-S) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does ANDREW DAVID WHITE (PA-S) list a practice location?
Patients near Orlando, Florida may find ANDREW DAVID WHITE (PA-S) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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