Individual provider Active NPI

William Bird Jones, M.D.

  • Urology Physician
  • Gainesville, GA
National Provider Identifier
1063419281
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21167 Issued in GA
Practice address
660-A Lanier Park Drive
Gainesville, GA 30501-2075
Phone
(770) 535-0000
Fax
(770) 532-3911
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01021167 GA
Urology Physician 208800000X 21167 GA Primary

Addresses

Primary practice location

660-A Lanier Park Drive
Gainesville, GA 30501-2075

Mailing address

660-A Lanier Park Drive
Gainesville, GA 30501-2075
Phone (770) 535-0000

Other identifiers 2

IdentifierTypeStateIssuer
00190638AMedicaidGA
260960438COtherGAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01021167GAMDUrology Physician
21167GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Urological Assoc., P.C. CurrentSince Dec 1, 2012 Accepting new patients

Locations

660 Lanier Park Dr
Ste A
Gainesville, GA 30501
Phone (770) 535-0000

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc32209_northeastgeorgiaurologicassoc

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1063419281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660-A LANIER PARK DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660-A LANIER PARK DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "BIRD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "01021167",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "21167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190638A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "260960438C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.