NPIMap

Individual provider Active NPI

William George Raisig, MD

  • Family Medicine Physician
  • Ellijay, GA
National Provider Identifier
1184614240
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055290 Issued in GA
Practice address
60 Highland Court
Suite 101
Ellijay, GA 30540
Phone
(706) 698-3627
Fax
(706) 698-3630
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 055290 GA Primary

Addresses

Primary practice location

60 Highland Court
Suite 101
Ellijay, GA 30540

Mailing address

60 Highland Court
Suite 101
Ellijay, GA 30540
Phone (706) 698-3627

Other identifiers 2

IdentifierTypeStateIssuer
044136764AMedicaidGA
P00249291OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000011 GA Practitioner - Family Practice 4486617198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Raisig Clinic and Wellness CenterGroup PAC ID 5496718108, 2 clinicians

Practice addresses (Care Compare)

60 Highland CT
Suite 101
Ellijay, GA 30540-6773
Phone (706) 698-3627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal27
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Raisig Clinic and Wellness Center Family Medicine CurrentSince Sep 1, 2004 Accepting new patients

Locations

64 Call Wright Rd
Ellijay, GA 30540
Phone (706) 699-3627

61 Highland Ct
Ste 101
Ellijay, GA 30540
Phone (706) 698-3627

60 Highland Ct
Ellijay, GA 30540
Phone (706) 698-3627

Organizations & group practices 1

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 6

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1184614240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HIGHLAND COURT",
            "address_2": "SUITE 101",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30540",
            "telephone_number": "706-698-3627",
            "fax_number": "706-698-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIGHLAND COURT",
            "address_2": "SUITE 101",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30540",
            "telephone_number": "706-698-3627",
            "fax_number": "706-698-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISIG",
        "first_name": "WILLIAM",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044136764A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00249291",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.