Tamica Evelyn White (NPI# 1669630893, PAC ID# 2668544875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1669630893 |
| PAC ID by PECOS | 2668544875 |
| Professional Enrollment ID | I20140911001012 |
| Full Name | Tamica Evelyn White |
| Address |
4475 W Village Pkwy Ellenwood GA 30294-2634 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | SURGICAL ONCOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1301 Sigman Rd Ne, Suite 190, Conyers, GA 30012-3924 | 7709224024 | PIEDMONT PROVIDERS LLC |
| 4475 W Village Pkwy, Ellenwood, GA 30294-2634 | ||
| 100 Bull St, Suite 200, Savannah, GA 31401-3305 | 9542136251 | VOHRA WOUND PHYSICIANS OF FL LLC |
| Street Address |
4475 W VILLAGE PKWY |
| City | ELLENWOOD |
| State | GA |
| Zip | 30294-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louanna Fericia Adams | Clinical Social Worker | 4204 Sweetwater Pkwy, Ellenwood, GA 30294-1554 | |
| Rose Kombe | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Jamal Dixon | Internal Medicine | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Latanya Weston | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Charles V Clopton Jr. | Family Medicine | 195 Fairview Rd, Ellenwood, GA 30294-2722 |
| City | ELLENWOOD |
| Zip Code | 30294 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ELLENWOOD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Tamica Evelyn White.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.