Individual provider Active NPI

William Clint Adcox, MD

  • Family Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1124086350
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031376 Issued in 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
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

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

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

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: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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
Laboratory Fitness LLCGroup PAC ID 1052858628, 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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

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

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1124086350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MOUNT VERNON TRCE",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692641",
            "telephone_number": "770-486-1818",
            "fax_number": "770-486-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GENEVIEVE CT STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154868",
            "telephone_number": "770-486-1818",
            "fax_number": "770-486-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOX",
        "first_name": "WILLIAM",
        "middle_name": "CLINT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.