DR. WILLIAM A WILLOUGHBY (NPI# 1609894708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609894708 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM A WILLOUGHBY |
| Credential | M.D. |
| Practice Address |
821 N Cobb St Milledgeville GA 31061-2343 |
| Mailing Address |
1854 Shackleford Ct Suite 350 Norcross GA 30093-2954 |
| Practice Telephone | 4784520524 |
| Practice Fax Number | 4784520525 |
| Mailing Telephone | 7706883801 |
| Mailing Fax Number | 7702376148 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
038407 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00828066A | 05 | |
| GA | RR MEDICARE | P00913763 | 01 |
| GA | STATE LICENSE | 038407 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526458 | William Dustin Willoughby | Counselor | 1100 Washington St, Boston, MA 02124-5520 | 2017-09-05 |
| Street Address |
821 N COBB ST |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308983 | Alice G. Noel | Social Worker | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2005-07-05 |
| 1619510096 | Rachel Cannon East | Speech-Language Pathologist | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2019-10-18 |
| 1447710207 | Robert Youngblood | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2019-03-20 |
| 1255834321 | Macon Occupational Medicine | Clinic/Center | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2018-03-14 |
| 1841701562 | Navicent Health Baldwin, Inc | General Acute Care Hospital | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2017-10-20 |
| 1407309297 | Shannon Adair Lowery | Pharmacist | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-07-27 |
| 1477904308 | Kristen Willis | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-06-22 |
| 1407205453 | Brittany Maddox Osborne | Nurse Practitioner | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-06-10 |
| 1306206826 | Baldwin Emergency Group, LLC | Physician Assistant | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-02-25 |
| 1285093153 | Baldwin Physician Services, LLC | Physician Assistant | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2016-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790725562 | Frederick Steven Falchook | Radiology | 1850 N Columbia St, Milledgeville, GA 31061-2385 | 2006-06-08 |
| 1912074469 | Oconee Radiology Associates | Radiology | 811 N Cobb St, Milledgeville, GA 31061-2389 | 2006-11-29 |
| 1952341760 | Laurence Steinfeld | Radiology | 1850 N Columbia St, Milledgeville, GA 31061-2385 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1912464702 | Vickie Consuella71 Bush | Radiology | 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 | 2019-02-27 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1578061636 | Subspecialty Imaging, LLC | Radiology | 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 | 2018-01-24 |
| 1205354693 | Zenith Radiology LLC | Radiology | 1059 Windermere Xing, Cumming, GA 30041-6104 | 2017-09-06 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1902346422 | Allegiance Imaging and Radiology LLC | Radiology | 900 Thornton Rd, Ste A, Lithia Springs, GA 30122-2641 | 2017-03-02 |
| 1518406743 | Flexogenix Georgia PC | Radiology | 4600 Roswell Rd Unit E210, Sandy Springs, GA 30342-3197 | 2017-02-21 |
| 1649727215 | Metro Imaging Cumming, LLC | Radiology | 4150 Deputy Bill Cantrell Memorial Road, Cumming, GA 30040 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
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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.