DEIDRA WHITE (NP) – Nurse Practitioner, NPI 1568595775
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for DEIDRA WHITE (NP)
1106 ANEMONE WAY NW
ACWORTH, GA 301028173
Phone: (404) 425-8479
Type: Mailing
699 CHURCH ST NE
SUITE 340
MARIETTA, GA 300601110
Phone: (678) 355-1620
Type: Location
148 BILL CARRUTH PKWY STE 220
HIRAM, GA 301413756
Phone: (775) 505-0023
Type: Mailing
4550 Cobb Parkway North NW Ste 305
Acworth, GA 301014182
Phone: (770) 917-8190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($110).
Total Amount
$175
General + Research + Ownership
Payments
4
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $110 |
| GENZYME CORPORATION | $65 |
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: 2009-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091111000567 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 220 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 27 | 26 | $0 |
| 69210 | Removal of impacted ear wax | 19 | 13 | $0 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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