Individual provider Active NPI

William J. Gower III, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1053306399
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22412 Issued in GA
Practice address
755 Mount Vernon Hwy
Suite 500
Atlanta, GA 30328-4274
Phone
(678) 222-3145
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22412 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy
Suite 500
Atlanta, GA 30328-4274

Mailing address

755 Mount Vernon Hwy
Suite 500
Atlanta, GA 30328-4274
Phone (678) 222-3145

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
I20100812000524 GA Practitioner - Internal Medicine 7618879461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Sandy Springs Internal Medicine, P.C.Group PAC ID 0547162380, 7 clinicians

Practice addresses (Care Compare)

755 Mount Vernon Hwy NE
Suite 500
Atlanta, GA 30328-4280
Phone (678) 222-3145

755 Mount Vernon Hwy NE 500
Atlanta, GA 30328-4280

755 Mt Vernon Hwy
Suite 500
Atlanta, GA 30328-4280

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22412GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Springs Internal Medicine, P.C. Internal Medicine CurrentSince Nov 22, 2014 Accepting new patients

Locations

755 Mount Vernon Hwy NE
Ste 500
Sandy Springs, GA 30328
Phone (404) 256-9544

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGBD

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.

Hospital & facility affiliations 3

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1053306399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "678-222-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "678-222-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWER",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "22412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.