Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eddie Dean Tyler White

Individual provider Physician Assistant · NPI 1649133208

Eddie Dean Tyler White is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025

Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-4626
Fax: (336) 716-5438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Campus Dr, Elon, NC 27244-9423 — (336) 278-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06351 (NC)

Record details

NPI number1649133208
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESJune 7, 2026
Certification dateJune 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Winston Salem