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

Jeremy Shane White, MD

Individual provider Interventional Cardiology Physician · NPI 1104237007

Jeremy Shane White, MD is an Interventional Cardiology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2014, 12 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Mississippi.

Years since qualifying
12
Trained at
University of Mississippi School of Medicine
Licensed in
CA, MS
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
Show map & directions

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

Additional practice locations (1)

  • 625 19th St S, Birmingham, AL 35233-1900 — (205) 934-9666

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 29993 (MS)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence A169147 (CA)

Record details

NPI number1104237007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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