Individual provider Active NPI

William A Griffith, MD

  • Surgery Physician
  • Douglasville, GA
National Provider Identifier
1144293598
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
040675 Issued in GA
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

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000901194CMedicaidGA

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
I20040910000402 GA Practitioner - General Surgery 5597732511 Reassigns benefits to 1 organization

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
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

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 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2011 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.