Individual provider Active NPI

William Cody Palmer, NP-C

  • Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1285161539
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN219496 Issued in GA
Practice address
136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone
(478) 953-1020
Fax
(478) 953-5406
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN219496 GA Primary

Addresses

Primary practice location

136 S Houston Lake Rd
Warner Robins, GA 31088-6300

Mailing address

136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone (478) 953-1020

Other practice location 1

655 Seventh Street
Robins AFB
Warner Robins, GA 31098
Phone (478) 327-7850

Other identifiers 1

IdentifierTypeStateIssuer
003190443DMedicaidGA

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
I20170627000642 GA Practitioner - Nurse Practitioner 8123397643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William E. Freeman, MDGroup PAC ID 8921096199, 5 clinicians

Practice addresses (Care Compare)

136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone (478) 953-1020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.34 of 100Reported as group
Quality
90.49
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William E Freeman, MD CurrentSince Sep 18, 2019 Accepting new patients
William E. Freeman, MD CurrentSince Sep 18, 2019 Accepting new patients

Locations

136 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 953-1020

136 S Houston Lake Rd
Ste C
Warner Robins, GA 31088

Interoperability endpoints

  • Direct secure messaging: wpalmer@directaddress.net

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 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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1285161539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886300",
            "telephone_number": "478-953-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886300",
            "telephone_number": "478-953-1020",
            "fax_number": "478-953-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Seventh Street",
            "address_2": "Robins AFB",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "31098",
            "country_code": "US",
            "telephone_number": "478-327-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "WILLIAM",
        "middle_name": "CODY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN219496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190443D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.