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

Mr. Korey Jalen White, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1063183879

Mr. Korey Jalen White, PHYSICIANASSISTANT is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2021
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Practice location Address checks out

55 Fruit Street White 1
Boston, MA 02241-5005
Phone: (617) 724-4100
Fax: (617) 726-7415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8972 (MA)

Record details

NPI number1063183879
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 25, 2022
Certification dateSeptember 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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