NPIMap

Individual provider Active NPI

William Gaines Cumbie, DO

  • Orthopaedic Surgery Physician
  • Cumming, GA
National Provider Identifier
1043709553
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
95462 Issued in GA
Practice address
2000 Howard Farm Dr Ste 200
Cumming, GA 30041-6081
Phone
(770) 844-3295
NPI assigned
May 9, 2018
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 95462 GA Primary

Addresses

Primary practice location

2000 Howard Farm Dr Ste 200
Cumming, GA 30041-6081

Mailing address

2000 Howard Farm Dr Ste 200
Cumming, GA 30041-6081
Phone (770) 844-3295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000265 GA Practitioner - Orthopedic Surgery 3971849720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians
Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

125 Grand Oak Dr
Fayetteville, GA 30214-4632
Phone (770) 626-5340

401 Dividend Dr
Suite K
Peachtree City, GA 30269-1939
Phone (678) 506-1236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.29 of 100Reported as group
Quality
67.84
Promoting interoperability
73
Improvement activities
40
Cost
85.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint, LLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Georgia Bone & Joint, LLC CurrentSince Sep 1, 2024 Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients

Locations

125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340

1015 Lafayette Pkwy
Ste 210
Lagrange, GA 30241
Phone (706) 668-4097

1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1043709553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HOWARD FARM DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416081",
            "telephone_number": "770-844-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HOWARD FARM DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416081",
            "telephone_number": "770-844-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBIE",
        "first_name": "WILLIAM",
        "middle_name": "GAINES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "95462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.