William Clint Adcox, MD

Individual provider Active NPI Family Medicine Physician · Fayetteville, GA

NPI 1124086350 · NPPES record last updated Dec 20, 2011

Key facts

NPI
1124086350
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
031376 (GA)
Practice address
100 Genevieve CT Ste a
Fayetteville, GA 30215-4868
Phone
(770) 486-1818
Fax
(770) 486-7303
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group of Georgia LLC (454 clinicians)
Laboratory Fitness LLC (45 clinicians)

Practice addresses (Care Compare)

100 Genevieve CT
Suite a
Peachtree City, GA 30269-4868
Phone (770) 486-1818

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

401 Dividend Dr
Suite K
Peachtree City, GA 30269-1939
Phone (678) 506-1236

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency · Douglasville, GA · CCN 117050
  • Piedmont Fayette Hospital Hospital · Fayetteville, GA · CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital · Newnan, GA · CCN 110229
  • Wellstar Windy Hill Hospital Long-term care hospital · Marietta, GA · CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060405000221 GA Practitioner - Family Practice 6800804642 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine Current
since Nov 14, 2016
Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine Current
since Nov 14, 2016
Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

100 Genevieve Ct
Ste A
Peachtree Cty, GA 30269
Phone (770) 486-1818

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.adcox.1@8042.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 031376 GA Yes

Addresses

Primary practice location

100 Genevieve CT Ste a
Fayetteville, GA 30215-4868

Mailing address

407 Mount Vernon Trce
Peachtree City, GA 30269-2641
Phone (770) 486-1818

Other providers in Fayetteville, GA

All providers in Fayetteville, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.