CLAY CHRISTOPHER WHITE (AA) – Anesthesiologist Assistant, NPI 1124658620

CLAY CHRISTOPHER WHITE (AA) is a healthcare provider. based in Columbus, Ohio. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. 67.000371 (OH). The NPI Number for CLAY CHRISTOPHER WHITE (AA) is 1124658620

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CLAY CHRISTOPHER WHITE (AA)
NPI
1124658620
Phone
(614) 293-8487
Address
410 W 10TH AVE
Enumeration Date
23 January 2020
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142938487
Graduation Year
2020 (6 years ago)
PAC ID
4082038518
Group Practice PAC ID
3375692270
Professional Enrollment ID
I20200716003384
Address ID
OH432101240CO460XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

424 ANESTHESIOLOGY ASSISTANT in OH

Provider Addresses for CLAY CHRISTOPHER WHITE (AA)

  • 410 W 10TH AVE

    COLUMBUS, OH 432101240

    Phone: (614) 293-8487

    Fax: (614) 293-8153

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-8487

    Type: Mailing

  • 410 W 10TH AVE FL 1

    COLUMBUS, OH 432101240

    Phone: (614) 293-8487

    Fax: (614) 293-8153

    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: 2020-07-16

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
I20200716003384IAnesthesiology AssistantOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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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: 3375692270View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH

Reviews

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Frequently asked questions

How do I look up CLAY CHRISTOPHER WHITE (AA) by NPI?
Use NPI 1124658620 when you need to reference CLAY CHRISTOPHER WHITE (AA) in forms, claims, or directories.
Is CLAY CHRISTOPHER WHITE (AA) active in the national directory?
CLAY CHRISTOPHER WHITE (AA)'s public NPI profile is in an active state.
What field does CLAY CHRISTOPHER WHITE (AA) work in?
You can think of CLAY CHRISTOPHER WHITE (AA) as practicing within Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where is CLAY CHRISTOPHER WHITE (AA)'s primary listing?
We display Columbus, Ohio because that is what the record indicates for CLAY CHRISTOPHER WHITE (AA).
What if Columbus, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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