NPI age
14 years
Enumerated 2012-02-01
● Active
Type 1 · Individual
Jason Lantz White, IDMT
White is 1 of 12 military health care provider providers in Moody A F B and 1 of 73 in Georgia.
Primary specialty
Military Health Care Provider
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2012-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 73 active military health care provider providers in Georgia.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Practice location
3280 Mitchell Blvd
Moody A F B, GA 316991500
Mailing address
3807 Robin Ln
Valdosta, GA 316055124
Specialties
-
Military Health Care Provider PrimaryAn Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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