Misty D White (NPI# 1912408469, PAC ID# 5698030559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912408469 |
| PAC ID by PECOS | 5698030559 |
| Professional Enrollment ID | I20180523001747 |
| Full Name | Misty D White |
| Organization Legal Name | NEUROLOGY AND PAIN MANAGEMENT, PLLC |
| Address |
5511 Ramsey St Suite 200 Fayetteville NC 28311-1413 |
| Phone Number | 9104912744 |
| Gender | F |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305895905 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340071 | BETSY JOHNSON REGIONAL HOSPITAL |
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5511 Ramsey St, Suite 200, Fayetteville, NC 28311-1413 | 9104912744 | NEUROLOGY AND PAIN MANAGEMENT, PLLC |
| Organization Legal Name | NEUROLOGY AND PAIN MANAGEMENT, PLLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samta Ashok Bhakta | Nurse Practitioner | Neurology and Pain Management, Pllc | 350 Pine State St, Lillington, NC 27546-9428 |
| Brandy N Mountcastle | Physician Assistant | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Nailesh D Dave | Neurology | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Neema N Dave | Physician Assistant | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Pamela R Pope | Nurse Practitioner | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Emily M Self | Physician Assistant | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Bianca L Goo | Physician Assistant | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Patrick E Malone | Physician Assistant | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Shannon M Poplstein | Physician Assistant | Neurology and Pain Management, Pllc | 325 S Walton Dr, Benson, NC 27504-9396 |
| Meena P Dave | Physician Assistant | Neurology and Pain Management, Pllc | 350 Pine State St, Lillington, NC 27546-9428 |
| Street Address |
5511 RAMSEY ST SUITE 200 |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28311-1413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly K Mui | Physician Assistant | Northside Primary and Urgent Care | 5397 Ramsey St, Fayetteville, NC 28311-1417 |
| Benjamin R Blaschke | Physician Assistant | Northside Primary and Urgent Care | 5397 Ramsey St, Fayetteville, NC 28311-1417 |
| Bobette N Donaldson | Clinical Social Worker | All American Counseling Wellness | 5619 Ramsey St, Fayetteville, NC 28311-1423 |
| Tasheka Shanelle Travers | Clinical Social Worker | All American Counseling Wellness | 5619 Ramsey St, Fayetteville, NC 28311-1423 |
| Paul S Benveniste | Psychologist, Clinical | All American Counseling Wellness | 5619 Ramsey St, Fayetteville, NC 28311-1423 |
| Andrew Lovsin | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Carlene Rosado Martin | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Elwood Glenn Likens | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Susan Walsh Hendrix | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Brandi D Chavis | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Find all physicians in zip 28311 | |||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAYETTEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Misty D 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.