OrganizationActive
Bennie R White Jr MD Inc
NPI 1306019104 · Primary Care Clinic/Center · Jackson, GA
Provider details
- NPI number
- 1306019104
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bennie White, President(770) 775-2341
- License
- 56245 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
794 Mcdonough Rd
Suite 105
Jackson, GA 30233-1572
Phone: (770) 775-2341
Fax: (770) 775-3668
Street-level locationGet directions
Mailing address
794 Mcdonough Rd
Jackson, GA 30233-1572
Registry dates
- Enumerated
- 2008-04-12
- Last updated
- 2008-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.