VICTORIA Y. WARNER-WHITE M.D. NPI 1881854743

NPI Information

NPI: 1881854743
Provider Name: VICTORIA Y. WARNER-WHITE M.D.
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address: 2040 DAN PROCTOR DR
SUITE 230
SAINT MARYS, GA
ZIP 31558
Phone: (912) 576-6464

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NPI Details

VICTORIA Y. WARNER-WHITE M.D. is a point of service in Saint Marys, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. VICTORIA Y. WARNER-WHITE M.D. NPI is 1881854743. The provider is registered as an organization entity type.

The provider's business location address is:

2040 DAN PROCTOR DR
SUITE 230
SAINT MARYS, GA
ZIP 31558-811
Phone: (912) 576-6464
Fax: (912) 576-6460

The provider's authorized official is Victoria Yalonda Warner-white .
The authorized official title is Pediatrician and has the following contact phone number (912) 576-6464.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 6/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service		039504	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00636633B	MEDICAID	GEORGIA
2	261653847	OTHER	GEORGIA	TRICARE
3	015004	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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