Individual provider Active NPI

William Greene Sutlive III, MD

  • General Practice Physician
  • Savannah, GA
National Provider Identifier
1043463524
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23235 Issued in GA
Practice address
6555 Abercorn St Ste 129
Savannah, GA 31405-5723
Phone
(912) 341-6007
Fax
(912) 428-5621
NPI assigned
Oct 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23235 GA Primary

Addresses

Primary practice location

6555 Abercorn St Ste 129
Savannah, GA 31405-5723

Mailing address

6555 Abercorn St Ste 129
Savannah, GA 31405-5723
Phone (912) 341-6007

Other identifiers 1

IdentifierTypeStateIssuer
87-0964385OtherGATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
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

LicenseStateTypeSpecialty
23235GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Orthopedics, LLC CurrentSince Nov 16, 2021 Accepting new patients

Locations

6555 Abercorn St
Ste 129
Savannah, GA 31405
Phone (912) 335-1699

Interoperability endpoints

  • Direct secure messaging: drbill1@inspireortho.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1043463524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 ABERCORN ST STE 129",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055723",
            "telephone_number": "912-341-6007",
            "fax_number": "912-428-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 ABERCORN ST STE 129",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055723",
            "telephone_number": "912-341-6007",
            "fax_number": "912-428-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTLIVE",
        "first_name": "WILLIAM",
        "middle_name": "GREENE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "23235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "87-0964385",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.