DR. JOHN S II WHITE (MD) – Family Medicine Physician, NPI 1902875057
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JOHN S II WHITE (MD)
32 HILLSIDE MANOR CT
SAINT PETERS, MO 633764144
Phone: (731) 217-8144
Type: Mailing
Summar Drive, Westwood Gardens, Jackson, Madison County, Tennessee, 38301, United States
JACKSON, TN 383013915
Phone: (731) 423-1932
Fax: (731) 410-0367
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 $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $30 |
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: 2005-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050818000221 | I | Family Practice | TN | 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 63376)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TN | 85610 | Blood test, clotting time | 38 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Family Practice | TN | |
| Family Practice, Emergency Medicine | TN | |
| Family Practice, Emergency Medicine | TN | |
| Family Practice | TN | |
| Hospitalist, Internal Medicine | TN | |
| Emergency Medicine, Family Practice | AL | |
| Family Practice | NC | |
| Nurse Practitioner | TN | |
| Family Practice, Sports Medicine | TN |
Reviews
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