Individual provider Active NPI

William Harrell Vanlaar, DO

  • Family Medicine Physician
  • McDonough, GA
National Provider Identifier
1205909439
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
033733 Issued in GA
Practice address
68 Hampton St
McDonough, GA 30253-3150
Phone
(770) 914-0342
Fax
(770) 914-0493
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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 033733 GA Primary

Addresses

Primary practice location

68 Hampton St
McDonough, GA 30253-3150

Mailing address

68 Hampton St
McDonough, GA 30253-3150
Phone (770) 914-0342

Other identifiers 1

IdentifierTypeStateIssuer
000458455EMedicaidGA

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
I20040916000167 GA Practitioner - General Practice 5395712566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 Hampton St
McDonough, GA 30253-3150
Phone (770) 914-0342

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033733GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough Primary Care Inc Family Medicine CurrentSince Oct 1, 1994 Accepting new patients

Locations

68 Hampton St
McDonough, GA 30253
Phone (770) 914-0342

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICCDA/Endpoint/CICCDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CICCDA

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 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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1205909439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HAMPTON ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533150",
            "telephone_number": "770-914-0342",
            "fax_number": "770-914-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HAMPTON ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533150",
            "telephone_number": "770-914-0342",
            "fax_number": "770-914-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLAAR",
        "first_name": "WILLIAM",
        "middle_name": "HARRELL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "033733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000458455E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.