Active NPI
William A Griffith, MD
- Surgery Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 040675
- Practice address
- 4904 Timber Ridge Dr
Suite 104
Douglasville, GA 30135-1828 - Phone
- (770) 949-4000
- Fax
- (770) 942-5311
- NPI assigned
- Feb 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 040675 | GA | Primary |
Addresses
Primary practice location
4904 Timber Ridge Dr
Suite 104
Douglasville, GA 30135-1828
Mailing address
4904 Timber Ridge Dr
Suite 104
Douglasville, GA 30135-1828
Phone (770) 949-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000901194C | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Mercer University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4904 Timber Ridge Dr
Suite 104
Douglasville, GA 30135-1831
Phone (770) 942-4822
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cobb Surgical Associates, LLC | Surgery | Past | Accepting new patients |
| Wellstar Medical Group, LLC | Surgery | Past | Accepting new patients |
| Wellstar Health System, Inc. | Past | Accepting new patients |
Locations
1810 Mulkey Rd
Ste 105
Austell, GA 30106
Phone (678) 540-7597
4904 Timber Ridge Dr
Ste 104
Douglasville, GA 30135
Phone (770) 942-4822
6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411
148 Bill Carruth Pkwy
Ste 180
Hiram, GA 30141
Phone (770) 445-1915
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- wgriffith15677@directwellstar.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Surgery Physician
- Austell, GA
- NPI 1285689844
-
- Point of Service
- Marietta, GA
- NPI 1437219656
-
- Surgery Physician
- Douglasville, GA
- NPI 1164715132
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1144293598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 TIMBER RIDGE DR",
"address_2": "SUITE 104",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351828",
"telephone_number": "770-949-4000",
"fax_number": "770-942-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 TIMBER RIDGE DR",
"address_2": "SUITE 104",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351828",
"telephone_number": "770-949-4000",
"fax_number": "770-942-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "040675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000901194C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.