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Deactivated NPI 1568516730 Deactivated / Inactive NPI Male Practitioner

Dr. William Kimberly White , MD

Specialist • Cordele, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date May 29, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William White, MD was a registered Specialist practicing in Cordele, GA. Throughout an active medical career spanning 18 years, Dr. White provided care at the practice location at 105 E 4TH AVE until profile deactivation on 2025-05-29.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient outpatient office visit, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

105 E 4th Ave

Cordele, GA 310153262

Telephone 2292739320
Associated Practice Facility / Clinic
🏢 4u Healthcare Llc Facility NPI 1659169175

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Cordele, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Cordele, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
809 156 $90.00 $69.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
568 121 $90.00 $69.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
261 86 $150.00 $119.67
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
159 19 $240.00 $120.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
68 68 $175.00 $118.59
99306 Initial nursing facility visit, typically 45 minutes per day
65 65 $200.00 $171.80
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
61 61 $75.00 $64.17
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
46 46 $75.00 $64.34
99306 Initial nursing facility visit, typically 45 minutes per day
44 44 $200.00 $171.16
99496 Transitional care management services for problem of high complexity
11 11 $275.00 $257.45

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 32326

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Justin Wagnon , NP-C

Nurse Practitioner - Adult Health

NPI 1295112183

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
⚠️
NPI Profile Deactivated May 29, 2025

Record deactivated on May 29, 2025

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Updated Business Mailing Address January 22, 2021

Registered at PO BOX 5007, CORDELE, GA 310105007 (Tel: 2293228791)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2021

Internal Medicine (License #32326 in GA)

NPI Profile Active June 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2010

Registered at 105 E 4TH AVE, CORDELE, GA 310153262 (Tel: 2292739320)

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Updated Business Mailing Address June 29, 2010

Registered at 167 LAKEVIEW DR, CORDELE, GA 310155313 (Tel: 2293228791)

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Provider Name / Credentials Updated June 29, 2010

Recorded as WILLIAM WHITE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2010

Specialist (License #32326 in GA)

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Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568516730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: June 29, 2010
Deactivation Date: May 29, 2025

Mailing Address

167 Lakeview Dr

Cordele, GA 310155313

Phone: 2293228791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.