DALE E. WHITE (PA) – Medical Physician Assistant, NPI 1023054673

DALE E. WHITE (PA) is a healthcare provider. based in Fayetteville, North Carolina. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 101583 (NC). The NPI Number for DALE E. WHITE (PA) is 1023054673

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DALE E. WHITE (PA)
NPI
1023054673
Phone
(919) 865-7870
Address
1653 Owen Dr
Enumeration Date
21 June 2006
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9194199600
Graduation Year
1992 (34 years ago)
PAC ID
8729992706
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20040110000137
Address ID
NC277055688DU2701XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,322 PHYSICIAN ASSISTANT in NC

Provider Addresses for DALE E. WHITE (PA)

  • 1653 Owen Dr

    Fayetteville, NC 283043425

    Phone: (919) 865-7870

    Type: Location

  • McKnight Drive, Knightdale, Wake County, North Carolina, 27545, United States

    P.O. BOX 1559

    KNIGHTDALE, NC 275457050

    Phone: (919) 217-1411

    Fax: (919) 217-3084

    Type: Mailing

  • 360 NORWOOD DR

    CLAYTON, NC 275274207

    Phone: (919) 948-9001

    Type: Mailing

  • 9360 FALLS OF NEUSE RD STE 105

    RALEIGH, NC 276152485

    Phone: (919) 865-7870

    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 $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($76).

Total Amount

$123

General + Research + Ownership

Payments

4

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-01

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: 2004-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1009 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20040110000137IPhysician AssistantNC2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes522177$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month285144$0
96372Injection of drug or substance under skin or into muscle27219$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 month16581$0
97150Therapy procedure in a group setting8523$0
View full utilization report →

Insurance plans in this area (ZIP 28304)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
Internal MedicineTX
Physical Therapist In Private PracticeNC
-NY
Internal MedicineTX
Family PracticeTX
Nurse PractitionerMI
Family PracticeTX
Physical Medicine And Rehabilitation, Pain ManagementTX
Internal MedicineMA

Reviews

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Frequently asked questions

What is the registry number for DALE E. WHITE (PA)?
The registry entry for DALE E. WHITE (PA) shows NPI 1023054673.
Should I treat DALE E. WHITE (PA) as an active provider?
Patients and plans typically see DALE E. WHITE (PA) as active in the national extract.
Which specialty label fits DALE E. WHITE (PA)?
NPPES ties DALE E. WHITE (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DALE E. WHITE (PA) tied to Fayetteville, North Carolina?
If you are local to Fayetteville, North Carolina, DALE E. WHITE (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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