Mr Grady Alexander White Jr, NP - Medicare Nurse Practitioner in Athens, GA

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Mr Grady Alexander White Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Athens, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstreet Of Georgia Pc and his current practice location is 1199 Prince Ave, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 475-7000.

Mr Grady Alexander White Jr is licensed to practice in Georgia (license number RN227135) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689187130.

Contact Information

Mr Grady Alexander White Jr, NP
1199 Prince Ave,
Athens, GA 30606-2797
(706) 475-7000
Not Available

Map and Direction




Provider's Profile

Full NameMr Grady Alexander White Jr
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1199 Prince Ave, Athens, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Grady Alexander White Jr graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1689187130
  • Provider Enumeration Date: 11/07/2017
  • Last Update Date: 11/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8426482118
  • Enrollment ID: I20200106002318

Medical Identifiers

Medical identifiers for Mr Grady Alexander White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689187130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN227135 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279384

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Grady Alexander White Jr allows following entities to bill medicare on his behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameReddy Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427184654
PECOS PAC ID: 3274554456
Enrollment ID: O20051215000364
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NameReddy Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922356179
PECOS PAC ID: 5890932966
Enrollment ID: O20130508000573
Entity NameReddy Urgent Care-monroe Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689097859
PECOS PAC ID: 2769613025
Enrollment ID: O20140331000221
Entity NameAthens Clarke Medical Enterprises Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295370542
PECOS PAC ID: 0547698680
Enrollment ID: O20200324000216

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Grady Alexander White Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Grady Alexander White Jr, NP
221 Towns Walk Dr,
Athens, GA 30606-7979

Ph: (843) 460-0505		Mr Grady Alexander White Jr, NP
1199 Prince Ave,
Athens, GA 30606-2797

Ph: (706) 475-7000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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