Individual provider Active NPI

William S Bikoff, MD

  • Neurology Physician
  • Peachtree City, GA
National Provider Identifier
1285678185
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
019484 Issued in GA
Practice address
300 Prime PT Ste 101
Peachtree City, GA 30269-6851
Phone
(770) 486-7195
Fax
(770) 486-9414
NPI assigned
Jun 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 019484 GA Primary

Addresses

Primary practice location

300 Prime PT Ste 101
Peachtree City, GA 30269-6851

Mailing address

300 Prime PT Ste 101
Peachtree City, GA 30269-6851
Phone (770) 486-7195

Other identifiers 2

IdentifierTypeStateIssuer
00151038AMedicaidGA
100140OtherGABCBS

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
I20101116000305 GA Practitioner - Neurology 5991778102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of New York at Buffalo School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Neurological Associates PCGroup PAC ID 2961474168, 2 clinicians

Practice addresses (Care Compare)

300 Prime PT
Suite 101
Peachtree City, GA 30269-6851
Phone (770) 486-7195

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Neurological Associates PC Neurology CurrentSince Jan 1, 2001 Accepting new patients

Locations

1288 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 929-0777

1288 Wellbrook Cir NE
Ste A
Conyers, GA 30012
Phone (678) 369-6934

300 Prime Pt
Ste 101
Peachtree Cty, GA 30269
Phone (770) 486-7195

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285678185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PRIME PT STE 101",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696851",
            "telephone_number": "770-486-7195",
            "fax_number": "770-486-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PRIME PT STE 101",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696851",
            "telephone_number": "770-486-7195",
            "fax_number": "770-486-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIKOFF",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "019484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00151038A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "100140",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.