DR. WILLIAM C TIPPINS JR. (NPI# 1194711093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194711093 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM C TIPPINS JR. |
| Credential | MD |
| Practice Address |
1462 Montreal Rd Suite 412 Tucker GA 30084-6929 |
| Practice Telephone | 7703962496 |
| Practice Fax Number | 7704936189 |
| Mailing Telephone | 7703962496 |
| Mailing Fax Number | 7704936189 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
007916 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00091594D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821065020 | William E Tippins Jr. | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2006-03-07 |
| Street Address |
1462 MONTREAL RD SUITE 412 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243960 | Metro Community Healthcare LLC | Nurse Practitioner | 1462 Montreal Rd, Suite 418, Tucker, GA 30084-6932 | 2016-09-16 |
| 1093109795 | Medical Associates of Georgia | Internal Medicine | 1462 Montreal Rd, 307, Tucker, GA 30084-6929 | 2015-03-20 |
| 1205229192 | Advanced Orthopedic Surgery Center LLC | Clinic/Center | 1462 Montreal Rd, Suite 109, Tucker, GA 30084-6929 | 2015-03-17 |
| 1396085106 | Charlene Ann Morgan | Pharmacy Technician | 1462 Montreal Rd, Tucker, GA 30084 | 2013-02-15 |
| 1033458906 | Mark Monterola | Pharmacy Technician | 1462 Montreal Rd, Tucker, GA 30084-6929 | 2013-02-12 |
| 1477897288 | Amy Suzanne Duggan | Pharmacist | 1462 Montreal Rd, Tucker, GA 30084-6929 | 2012-11-16 |
| 1275809527 | Una Pharmacy Corporation | Pharmacy | 1462 Montreal Rd, Suite 101, Tucker, GA 30084-6929 | 2012-03-30 |
| 1316223514 | Una Pharmacy | Pharmacy | 1462 Montreal Rd, Ste 101, Tucker, GA 30084-6929 | 2011-11-01 |
| 1275840068 | Tucker Family Practice, L.L.C. | Family Medicine | 1462 Montreal Rd, Suite 307, Tucker, GA 30084-6929 | 2010-09-01 |
| 1760613301 | Neighborhood Discount Pharmacy | Pharmacy | 1462 Montreal Rd, Suite 101, Tucker, GA 30084-6929 | 2009-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033322656 | Margaret Yvette Duverney | Obstetrics & Gynecology | 4905 Lavista Rd # B, Tucker, GA 30084-4437 | 2007-05-08 |
| 1215035407 | Rita Sharma | Obstetrics & Gynecology | 1922 Northlake Pkwy, Tucker, GA 30084-7009 | 2006-09-20 |
| 1285665158 | Cheng Ling Yu | Obstetrics & Gynecology | 2183 Northlake Pkwy, Suite 102, Tucker, GA 30084-4108 | 2006-07-06 |
| 1437361375 | Northlake Women's Specialists | Obstetrics & Gynecology | 2183 Northlake Pkwy, Suite 102, Tucker, GA 30084-4108 | 2007-05-04 |
| 1366438251 | Alan Jay Pomerance | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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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.