William S Mayberry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22444 Issued in GA

Practice address

2709 Airport Rd
Suite 101
Dalton, GA 30721-0252

Phone

(706) 275-4444

Fax

(706) 275-6515

NPI assigned

Apr 20, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20818/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Georgia Healthcare Tunnel Hill

  • Community Health Clinic/Center
  • Tunnel Hill, GA
  • NPI 1124331178
  NPD (past)
• Tri-Med Family Care, Inc

  • Community/Retail Pharmacy
  • Ringgold, GA
  • NPI 1912144460
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1013274596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 AIRPORT RD",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307210252",
            "telephone_number": "706-275-4444",
            "fax_number": "706-275-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 AIRPORT RD",
            "address_2": "SUITE 101",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307210252",
            "telephone_number": "706-275-4444",
            "fax_number": "706-275-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "22444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandrea P Massingill, COTA/L
• Sarbjit Singh Masson, MD
• Joella Matheny, ATC
• Kyle D Maxwell, MD
• Therese A Maxwell, MD
• Linda J Mayes, LCSW
• Jan Renee Mayfield, MD
• Ginny Lee Mayher, SLP
• Thomas John Maytum Jr., PTA
• MC Medical LLC

• Family Medicine Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.