Active NPI
William Chester Ford Jr., NP-C
- Family Nurse Practitioner
- Bethel, AK
National Provider Identifier
1124006200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 121442
- Practice address
- 1124006200
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559 - Phone
- (907) 543-6430
- NPI assigned
- Jan 9, 2006
- Last updated
- Aug 24, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 121442 | AK | Primary |
| Family Nurse Practitioner | 363LF0000X | RN144697 | GA |
Addresses
Primary practice location
1124006200
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Mailing address
5555 E Pamela Dr
Wasilla, AK 99654-0552
Phone (706) 498-2361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669291 | Medicaid | AK |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121442 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Heart Center, PC | Current | Accepting new patients |
Locations
2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632
11973 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-8181
11973 Augusta Rd
#R5D
Lavonia, GA 30553
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1447338744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1124006200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 E PAMELA DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996540552",
"telephone_number": "706-498-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124006200",
"address_2": "829 CHIEF EDDIE HOFFMAN HWY",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"telephone_number": "907-543-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "WILLIAM",
"middle_name": "CHESTER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "121442",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN144697",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669291",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.