William J Rivers III MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WILLIAM J RIVERS III MD LLC

Practice address

3225 Shallowford Rd Ste 500
Marietta, GA 30062-7024

Phone

(770) 579-9000

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

William Jacocks Rivers III, MDNPI 1639468580

Title

Owner

Phone

(770) 579-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Jacocks Rivers III, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1639468580
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1043877269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "telephone_number": "770-579-9000",
            "fax_number": "888-844-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "telephone_number": "770-579-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Upper Riverdale Rd SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742615",
            "country_code": "US",
            "telephone_number": "770-897-7310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Tower Rd NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300606947",
            "country_code": "US",
            "telephone_number": "770-422-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Kennesaw Ave NW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601002",
            "country_code": "US",
            "telephone_number": "770-422-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAM J RIVERS III MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JACOCKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-579-9000",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Nicole Wilkins, DPT, PT
• Luke Wilkins
• Taylor Annice Wilkins, DPT
• William B. Webster, Jr., DDS, PC
• William E. Snell DO PC (Kenmar Family Practice)
• Loraine Judith Williammee, CCC-SLP
• Denise Williams Watson
• Williams Wellness Center
• Ashley Nicole Williams Whitley, PH.D.
• Malya Rachelle Williams-Phillips, BT

• Physical Medicine & Rehabilitation Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.