WILLINGWAY, INC. (NPI# 1174682546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174682546 |
| Entity Type | Organization |
| Organization Name | WILLINGWAY, INC. |
| Other Organization Name | WILLINGWAY HOSPITAL |
| Practice Address |
311 Jones Mill Rd Statesboro GA 30458-4765 |
| Practice Telephone | 9127646236 |
| Practice Fax Number | 9124891700 |
| Mailing Telephone | 9127646236 |
| Mailing Fax Number | 9124891700 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES M MOONEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9127646236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 16-257 | GA | Hospitals |
| Other Name | Type Code |
|---|---|
| Willingway Hospital | Doing Business As Name - Organization |
| Street Address |
311 JONES MILL RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-4765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336167600 | Shawn Ray Williams | Internal Medicine | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2006-07-17 |
| 1538771159 | Claire Tucker | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2020-08-17 | |
| 1942675491 | Jason Evans | Physician Assistant | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2015-12-09 |
| 1013131598 | Robert Wayne Mooney | Psychiatry & Neurology | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114450749 | Alisa Oates | Special Hospital | 116 Faybrook Dr, Byron, GA 31008-9530 | 2017-04-11 |
| 1306110424 | Pulmonary Wellstar | Special Hospital | 55 Witcher St Suite 160, Marietta, GA 30060 | 2012-03-07 |
| 1144591553 | Royston Animal Hospital | Special Hospital | 2888 W Main St, Royston, GA 30662-7003 | 2012-01-17 |
| 1073826590 | Atlanta Medical Center | Special Hospital | 401 Windy Ridge Ln Se, Atlanta, GA 30339-2432 | 2010-07-26 |
| 1225035462 | The Specialty Hospital, LLC | Special Hospital | 320 Turner Mccall Blvd., Rome, GA 30165-5621 | 2005-07-01 |
| 1942660311 | Ashley Garner | Special Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2016-02-29 |
| 1477939296 | Select Specialty Hospital | Special Hospital | 5353 Reynolds St, 4 South, Savannah, GA 31405-6015 | 2015-08-04 |
| 1144608316 | Department of Veterans Affairs | Special Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2015-05-08 |
| 1568849008 | Columbus Specialty Hospital | Special Hospital | 616 19th St, Columbus, GA 31901-1528 | 2015-05-05 |
| 1235553512 | Dva Atlanta | Special Hospital | 1670 Clairmont Rd, Mail Code Pod 111, Decatur, GA 30033-4004 | 2014-02-07 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.