Individual provider Active NPI

William Alan Woolery, DO

  • Family Medicine Physician
  • Panama City Beach, FL
National Provider Identifier
1013956572
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11952 Issued in FL
Practice address
11111 Panama City Beach Parkway
Panama City Beach, FL 32413
Phone
(850) 770-3270
Fax
(850) 770-3275
NPI assigned
Jun 6, 2006
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 029974 GA
Family Medicine Physician 207Q00000X 29974 GA
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS11952 FL
Family Medicine Physician 207Q00000X OS11952 FL Primary

Addresses

Primary practice location

11111 Panama City Beach Parkway
Panama City Beach, FL 32413

Mailing address

11111 Panama City Beach Parkway
Panama City Beach, FL 32413
Phone (850) 475-4500

Other identifiers 1

IdentifierTypeStateIssuer
00369091AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130131000462 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 5395717938 Reassigns benefits to 1 organization
I20240304003210 AL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5395717938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.58 of 100Reported as group
Quality
82.67
Promoting interoperability
98
Improvement activities
40
Cost
77.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS11952FLMDFamily Medicine Physician
29974GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Foley LLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Immediate Care Center of the South, LLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Eastern Shore Urgent Care LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients
Georgian Metropolis Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
The Hospital Authority of Monroe County, Georgia Past Accepting new patients
Primary Healthcare Center, P.C. Family Medicine Past Accepting new patients
Bleckley Emergency Group LLC Emergency Medicine Past Accepting new patients
Taylor Regional Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Sacred Heart Health System, Inc. Family Medicine PastSince Aug 1, 2019 Accepting new patients
Houston Hospitals Inc Past Accepting new patients
Eastern Shore Urgent Care LLC PastSince Aug 1, 2024 Accepting new patients
Morningside Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

29710 Urgent Care Dr
Daphne, AL 36526
Phone (251) 626-3782

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

Interoperability endpoints

  • Direct secure messaging: william.woolery.1@9582.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4349/brand/1/csg/1/fhir/r4

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1013956572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 PANAMA CITY BEACH PARKWAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 PANAMA CITY BEACH PARKWAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-770-3270",
            "fax_number": "850-770-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLERY",
        "first_name": "WILLIAM",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "029974",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "29974",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS11952",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00369091A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.