William Frank Catrett, M.D.
Individual provider Active NPI General Practice Physician · Buena Vista, GA
NPI 1164518338 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164518338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 014471 (GA)
- Practice address
- 365 Geneva Rd
Buena Vista, GA 31803-1701 - Phone
- (229) 649-2171
- Fax
- (229) 649-2524
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070404000114 | GA | Practitioner - Family Practice | 3779687546 | Practice locations: Buena Vista, GA; Butler, GA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 014471 | GA | Yes |
Addresses
Primary practice location
365 Geneva Rd
Buena Vista, GA 31803-1701
Mailing address
PO Box 417
Buena Vista, GA 31803-0417
Phone (229) 649-2171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00008786E | Medicaid | GA |
Other providers in Buena Vista, GA
- Becky S Drugstore LLC
- Buena Vista Family Clinic
- Burtons Enterprise Inc
- Careconnect Health, Inc
- Judy H. Catrett
- Dinesha Gay
- Dshundria Lynn Kleckley
- Lynn'S Core Solutions, LLC
- Magnolia Manor of Marion County Inc
- Marion County Commissioner of Roads and Revenue
All providers in Buena Vista, GA · General Practice Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.