NPIMap

Individual provider Active NPI

William Childs, D.O.

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1083648000
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69851 Issued in MT
Practice address
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone
(770) 844-3200
Fax
(404) 851-6325
NPI assigned
Jul 10, 2006
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055116 GA
Internal Medicine Physician 207R00000X 0061399 CO
Internal Medicine Physician 207R00000X 69851 MT Primary
Hospitalist Physician 208M00000X 055116 GA

Addresses

Primary practice location

1200 Northside Forsyth Dr
Cumming, GA 30041-7659

Mailing address

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

Other identifiers 1

IdentifierTypeStateIssuer
854053128AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050304000658 GA Practitioner - HospitalistPractitioner - Internal Medicine 1355395021 Reassigns benefits to 1 organization
I20190816001182 CO Practitioner - Hospitalist 1355395021
I20190926002481 MT Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Hospice/Palliative Care 1355395021 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

209 Health Park Dr
Libby, MT 59923-2001
Phone (406) 283-7000

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0061399COMDInternal Medicine Physician
055116GAMDInternal Medicine Physician
69851MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Feb 26, 2025 Accepting new patients
Cogent Healthcare of Montana P C Internal Medicine CurrentSince Dec 28, 2019 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jan 4, 2021 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Apr 1, 2007 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Jan 4, 2021 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Feb 26, 2025 Accepting new patients
Bozeman Health Deaconess Hospital Internal Medicine Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
St John's Lutheran Hospital Physician's Services Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2019 Accepting new patients
St. John's Lutheran Hospital, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Portercare Adventist Health System Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Ascension Genesys Hospital Past Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Genesys Practice Partners, Inc Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients

Locations

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1083648000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417659",
            "telephone_number": "770-844-3200",
            "fax_number": "404-851-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417659",
            "telephone_number": "770-844-3200",
            "fax_number": "404-851-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055116",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0061399",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "69851",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "055116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854053128A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.