Individual provider Active NPI

William Rawlings Jr., M.D.

  • Internal Medicine Physician
  • Sandersville, GA
National Provider Identifier
1265497952
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17644 Issued in GA
Practice address
501 Sparta Rd
Suite F
Sandersville, GA 31082-1371
Phone
(478) 552-0001
Fax
(478) 552-0048
NPI assigned
Apr 18, 2006
Last updated
May 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17644 GA Primary

Addresses

Primary practice location

501 Sparta Rd
Suite F
Sandersville, GA 31082-1371

Mailing address

501 Sparta Rd
Suite F
Sandersville, GA 31082-1371
Phone (478) 552-0001

Other identifiers 4

IdentifierTypeStateIssuer
00092738CMedicaidGA
00092738DMedicaidGA
025780OtherGABCBS
110026496OtherGARAILROAD MEDICARE

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
I20100125000000 GA Practitioner - Internal Medicine 0244372670 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17644GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Internal Medicine, P.C. Internal Medicine CurrentSince Jan 1, 1998 Accepting new patients
Washington County Internal Medicine, P.C. Internal Medicine PastSince Jan 1, 1998 Accepting new patients

Locations

501 Sparta Rd
Ste F
Sandersville, GA 31082
Phone (478) 552-0001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1265497952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD",
            "address_2": "SUITE F",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821371",
            "telephone_number": "478-552-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD",
            "address_2": "SUITE F",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821371",
            "telephone_number": "478-552-0001",
            "fax_number": "478-552-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINGS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "17644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00092738C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00092738D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "025780",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110026496",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.