Individual provider Active NPI

William Austin Durden, PA-C

  • Surgical Physician Assistant
  • Roswell, GA
National Provider Identifier
1265106967
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10504 Issued in GA
Practice address
11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956
Phone
(678) 344-8900
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10504 GA
Surgical Physician Assistant 363AS0400X
Surgical Physician Assistant 363AS0400X 10504 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606
Phone (470) 579-5600

Other practice location 1

10730 Medlock Bridge Road
Suite 110
Johns Creek, GA 30097-1705
Phone (678) 344-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222001059 GA Practitioner - Physician Assistant 1052705811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute of GeorgiaGroup PAC ID 1759552607, 57 clinicians

Practice addresses (Care Compare)

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

3075 Ronald Reagan Blvd
Suite 501
Cumming, GA 30041-6052
Phone (678) 344-8900

4150 Deputy Bill Cantrell Memorial
Suite 108
Cumming, GA 30040-9998
Phone (678) 344-8900

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10504GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute of Georgia PC CurrentSince Mar 1, 2025 Accepting new patients
Orthoatlanta, LLC CurrentSince Oct 14, 2024 Accepting new patients
Orthoatlanta, LLC CurrentSince Oct 14, 2024 Accepting new patients
Advanced Urology Institute of Georgia, PC CurrentSince Mar 1, 2025 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients
Perimeter Medical Wellness Past Accepting new patients
Advanced Urology Institute of Georgia, PC Past Accepting new patients
Advanced Urology Institute of Georgia Past Accepting new patients

Locations

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654

2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078

1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622

3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000

2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162

2711 Irvin Way
Ste 102
Decatur, GA 30030

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

49 Gordon Rd
Ste 103
Jasper, GA 30143
Phone (678) 593-1295

10730 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (860) 886-1956

501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973

1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280

1551 Janmar Rd
Snellville, GA 30078

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

Organizations & group practices 11

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 1

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1265106967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "470-579-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 700",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764956",
            "telephone_number": "678-344-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10730 MEDLOCK BRIDGE ROAD",
            "address_2": "SUITE 110",
            "address_purpose": "LOCATION",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971705",
            "country_code": "US",
            "telephone_number": "678-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "WILLIAM",
        "middle_name": "AUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10504",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "10504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.