Individual provider Active NPI

William E Titman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • North Chesterfield, VA
National Provider Identifier
1285726745
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101240650 Issued in VA
Practice address
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone
(804) 483-5140
Fax
(804) 483-5141
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD-043826-L PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 37173 WI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39935 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 048090 GA
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X 48090 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35-056251 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME74662 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101240650 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730

Mailing address

1120 15TH St Ste Bi-1056
Augusta, GA 30912-0004
Phone (706) 721-8623

Other practice location 1

805 Wilkes St
LaGrange, GA 30240-4403
Phone (706) 957-7321

Other practice location 2

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

Other practice location 3

1120 15th St
Augusta, GA 30912
Phone (706) 721-8623

Other identifiers 1

IdentifierTypeStateIssuer
48090OtherGAGA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070119000005 OH Practitioner - Pathology 2567463433 Reassigns benefits to 1 organization
I20070320000512 VA Practitioner - Pathology 2567463433 Reassigns benefits to 1 organization
I20090225000149 GA Practitioner - Pathology 2567463433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Pennsylvania State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

Hospital & facility affiliations

  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74662FLMDAnatomic Pathology & Clinical Pathology Physician
048090GAMDAnatomic Pathology & Clinical Pathology Physician
48090GAMDAnatomic Pathology & Clinical Pathology Physician
35-056251OHMDAnatomic Pathology & Clinical Pathology Physician
MD-043826-LPAMDAnatomic Pathology & Clinical Pathology Physician
0101240650VAMDAnatomic Pathology & Clinical Pathology Physician
37173WIMDAnatomic Pathology & Clinical Pathology Physician
39935TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Multi-Specialty CurrentSince Dec 26, 2017 Accepting new patients
St. Mary'S Medical Group, Inc. Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Coffee Regional Medical Center, Inc Multi-Specialty Current Accepting new patients
Somc Medical Care Foundation, Inc. Multi-Specialty CurrentSince Dec 26, 2017 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Aug 1, 2020 Accepting new patients
Au Medical Associates Inc Multi-Specialty CurrentSince Dec 1, 2019 Accepting new patients
Au Medical Associates Inc CurrentSince Dec 1, 2019 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Aug 1, 2020 Accepting new patients
St Mary'S Medical Group, Inc Multi-Specialty Current Accepting new patients
Forward Pathology Solutions LLC Multi-Specialty CurrentSince May 27, 2024 Accepting new patients
St. Mary'S Medical Group, Inc. Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
The Union Hospital Association Past Accepting new patients
David Eugene Martin MD PC Multi-Specialty Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wtitman2939806@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1285726745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST STE BI-1056",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-483-5140",
            "fax_number": "804-483-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Wilkes St",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404403",
            "country_code": "US",
            "telephone_number": "706-957-7321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332207",
            "country_code": "US",
            "telephone_number": "912-384-1900",
            "fax_number": "912-384-5667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITMAN",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD-043826-L",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "37173",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "39935",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "048090",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "48090",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35-056251",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME74662",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101240650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "48090",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.