WILLIAM KEITH WHITE (PA-C) – Physician Assistant, NPI 1649286428
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
Provider Addresses for WILLIAM KEITH WHITE (PA-C)
529 S PATTEN RD
PATTEN, ME 047653007
Phone: (207) 538-3700
Fax: (207) 528-2880
Type: Mailing
33 WALKER ST
ASHLAND, ME 047323429
Phone: (207) 538-3700
Fax: (207) 528-2880
Type: Location
420 E 2ND AVE STE 103
ROME, GA 301613210
Phone: (706) 509-3000
Type: Mailing
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (706) 235-1000
Type: Mailing
150, Gentilly Boulevard, Wildwood, Cartersville, Bartow County, Georgia, 30120, United States
CARTERSVILLE, GA 301208522
Phone: (470) 490-7140
Fax: (470) 490-7139
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20041028000380 | I | Physician Assistant | GA | TBD |
| I20170502001513 | I | Physician Assistant | NC | TBD |
| I20180110002740 | I | Physician Assistant | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04765)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MD | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | NC | |
| Family Practice | ME | |
| Family Practice | NY | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | ME | |
| Preventive Medicine | ME | |
| Physician Assistant | MT | |
| - | ME |
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