Individual provider Active NPI

William K Naguszewski, M.D.

  • Neurology Physician
  • Rome, GA
National Provider Identifier
1134103997
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
032965 Issued in GA
Practice address
126 Three Rivers Dr NE
Rome, GA 30161-4999
Phone
(706) 295-0070
Fax
(706) 290-0520
NPI assigned
Dec 5, 2005
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 032965 GA Primary

Addresses

Primary practice location

126 Three Rivers Dr NE
Rome, GA 30161-4999

Mailing address

126 Three Rivers Dr NE
Rome, GA 30161-4999
Phone (706) 295-0070

Other identifiers 1

IdentifierTypeStateIssuer
000429679CMedicaidGA

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
I20040518000708 GA Practitioner - NeurologyPractitioner - Internal MedicinePractitioner - Sleep Medicine 2860482031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine, Sleep Medicine
Education
St. Louis College of Physicians and Surgeons, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1035 Red Bud Nerd
Calhoun, GA 30701-2082
Phone (706) 238-5465

126 Three Rivers Dr NE
Rome, GA 30161-4999
Phone (706) 295-0070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032965GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coosa Medical Group CurrentSince Apr 5, 1990 Accepting new patients
Rome Wellness Diagnostics Past Accepting new patients
Coosa Neurology PC Neurology Past Accepting new patients
Cartersville Wellness Diagnostics Past Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

126 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 232-6739

16 Riverbend Dr SW
Ste 230
Rome, GA 30161
Phone (706) 613-6990

20 Riverbend Dr SW
Rome, GA 30161
Phone (706) 238-5465

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: wnaguszewski@cmg-ga.direct.office.nextgen.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 3

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1134103997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-295-0070",
            "fax_number": "706-290-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-295-0070",
            "fax_number": "706-290-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGUSZEWSKI",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "032965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000429679C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.