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

Mr. Ted Allan White, ANP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1134497787

Mr. Ted Allan White, ANP-BC is a Nurse Practitioner in Johnson City, Tennessee. Graduated from Vanderbilt University School of Medicine in 2011, 15 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
15
Trained at
Vanderbilt University School of Medicine
Licensed in
TN
In the registry since
2011

Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 16367 (TN)

Record details

NPI number1134497787
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedDecember 12, 2011
Last updated in NPPESFebruary 28, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City