DR. GREGORY ANTHONY WHITE (DO) – Physical Medicine & Rehabilitation Physician, NPI 1114589165

DR. GREGORY ANTHONY WHITE (DO) is a healthcare provider. based in Jackson, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 5101028831 (MI). The NPI Number for DR. GREGORY ANTHONY WHITE (DO) is 1114589165

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY ANTHONY WHITE (DO)
NPI
1114589165
Phone
(517) 205-7060
Address
205 N EAST AVE
Enumeration Date
30 June 2019
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168408000
Graduation Year
2019 (7 years ago)
PAC ID
8123353703
Group Practice PAC ID
4587576541
Professional Enrollment ID
I20250718000524
Address ID
MI495035229GR235XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for DR. GREGORY ANTHONY WHITE (DO)

  • 205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States

    JACKSON, MI 492011753

    Phone: (517) 205-7060

    Fax: (517) 205-7050

    Type: Location

  • 235 WEALTHY ST SE

    GRAND RAPIDS, MI 495035247

    Phone: (616) 840-8000

    Type: Location

  • Mary Free Bed Rehabilitation Center, 235, Wealthy Street Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495035247

    Phone: (616) 840-8000

    Type: Mailing

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 $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2023-10-16 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($47).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-16

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: 2025-07-18

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
I20250718000524IPhysical Medicine And RehabilitationMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49201)

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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: 4587576541View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeOK
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI
-MI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

Is there an official ID for DR. GREGORY ANTHONY WHITE (DO) in U.S. healthcare records?
The official identifier for DR. GREGORY ANTHONY WHITE (DO) is NPI 1114589165.
Is DR. GREGORY ANTHONY WHITE (DO) still an active registrant?
DR. GREGORY ANTHONY WHITE (DO) carries an active NPI according to the public dataset.
What kind of doctor is DR. GREGORY ANTHONY WHITE (DO)?
DR. GREGORY ANTHONY WHITE (DO) is associated with Physical Medicine & Rehabilitation Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GREGORY ANTHONY WHITE (DO)?
Directory geography for DR. GREGORY ANTHONY WHITE (DO) centers on Jackson, Michigan.
Does DR. GREGORY ANTHONY WHITE (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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