William Aaron Retterbush, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

250 W Broad St Apt 624
Athens, GA 30601-4817

Phone

(706) 247-4618

NPI assigned

May 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Surgery Specialists of North Atlanta PCGroup PAC ID 3476964701, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: aretterbush@dessna.emadirect.md
• Direct secure messaging: wretterbush@directaddress.net

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.

• Dermatology and Surgery Specialists of North Atlanta PC

  • Dermatology Physician
  • Marietta, GA
  • NPI 1447851357
  Medicare reassignment Care Compare group
• Dermatology Consultants, P.C.

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1851421531

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1053934844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BROAD ST APT 624",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306014817",
            "telephone_number": "706-247-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BROAD ST APT 624",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306014817",
            "telephone_number": "706-247-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTERBUSH",
        "first_name": "WILLIAM",
        "middle_name": "AARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restful Care Counseling, LLC
• Mark Restivo, DC NMT
• Restorathens, LLC
• Restorative Therapy and Consulting LLC
• Patrick David Retterbush, M.D.
• Anne W. Reynolds, PH.D.
• Karen Guilkey Reynolds, MD
• Mohamad Rezek, MBBS
• Rhett J Puder, PHD, LLC
• James Rhodes, PTA

• Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.