NPIMap

Williams Plastic and Reconstructive Surgery, PC

A Medicare group practice based in Dalton, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0244494953), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0244494953The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20120608000485 GA Part B Supplier - Ambulatory Surgical Center 1699759035
O20121003000574 GA Part B Supplier - Clinic/Group Practice 1619228897

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page