Individual provider Active NPI

William Loyd Mansour, M.D.

  • Gastroenterology Physician
  • Savannah, GA
National Provider Identifier
1043698053
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
88465 Issued in GA
Practice address
519 Stephenson Ave
Savannah, GA 31405-5969
Phone
(912) 354-9447
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 88465 GA Primary

Addresses

Primary practice location

519 Stephenson Ave
Savannah, GA 31405-5969

Mailing address

519 Stephenson Ave
Savannah, GA 31405-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210602000307 GA Practitioner - Internal MedicinePractitioner - Gastroenterology 1759693948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Authority of Candler CountyGroup PAC ID 5294623948, 36 clinicians
Gastroenterology Consultants of Savannah PCGroup PAC ID 6305736208, 11 clinicians

Practice addresses (Care Compare)

400 Cedar St
Metter, GA 30439-3338
Phone (912) 685-5741

519 Stephenson Ave
Savannah, GA 31405-5969
Phone 9123549447654

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy127
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Candler County CurrentSince Dec 29, 2023 Accepting new patients
Hospital Authority of Candler County CurrentSince Dec 29, 2023 Accepting new patients
Gastroenterology Consultants of Savannah, PC Single Specialty Current Accepting new patients
Hospital Authority of Candler County Single Specialty Current Accepting new patients
Gastroenterology Consultants of Savannah, PC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Endoscopy Center of Coastal Georgia, LLC Single Specialty CurrentSince Mar 25, 2024 Accepting new patients
Hospital Authority of Candler County Past Accepting new patients

Locations

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

637 S Lewis St
Metter, GA 30439
Phone (912) 685-1800

101 Saint Josephs Candler Dr
Ste 230
Pooler, GA 31322

101 Saint Josephs Candler Dr
Ste 310
Pooler, GA 31322

200 Interchange Dr
Richmond Hill, GA 31324
Phone (912) 721-2262

11706 Mercy Blvd
Ste 7A
Savannah, GA 31419
Phone (912) 537-4414

519 Stephenson Ave
Savannah, GA 31405

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1043698053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "WILLIAM",
        "middle_name": "LOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "88465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.