Active NPI
William Bird Jones, M.D.
- Urology Physician
- Gainesville, GA
National Provider Identifier
1063419281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 21167
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00190638A | Medicaid | GA | |
| 260960438C | Other | GA | MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01021167 | GA | MD | Urology Physician |
| 21167 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Urological Assoc., P.C. | Current | Accepting new patients |
Locations
660 Lanier Park Dr
Ste A
Gainesville, GA 30501
Phone (770) 535-0000
Interoperability endpoints
- 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.
-
- Specialist
- Gainesville, GA
- NPI 1205916483
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.