Healthcare Provider Details

I. General information

NPI: 1164226080
Provider Name (Legal Business Name): ROBIN HALEY WHITE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN HALEY HAYES

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 SPRING ST NE
GAINESVILLE GA
30501-3715
US

IV. Provider business mailing address

743 SPRING ST NE STE 710
GAINESVILLE GA
30501-3715
US

V. Phone/Fax

Practice location:
  • Phone: 770-219-1900
  • Fax: 770-848-6141
Mailing address:
  • Phone: 770-219-8730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17314
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: