Active NPI
William Moneit
- Pediatrics Physician
- Duluth, GA
National Provider Identifier
1316944671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 034204
- Practice address
- 2925 Premiere Pkwy
Suite #140
Duluth, GA 30097 - Phone
- (770) 495-6222
- Fax
- (770) 495-9959
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 034204 | GA | Primary |
Addresses
Primary practice location
2925 Premiere Pkwy
Suite #140
Duluth, GA 30097
Mailing address
2925 Premiere Pkwy
Suite #140
Duluth, GA 30097
Phone (770) 495-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000449611C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034204 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Pediatrics | Pediatrics | Past | Accepting new patients |
| Southside Medical Center, Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Duluth, GA
- NPI 1851494447
-
- Federally Qualified Health Center (FQHC)
- Lawrenceville, GA
- NPI 1861129850
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1316944671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 PREMIERE PKWY",
"address_2": "SUITE #140",
"city": "DULUTH",
"state": "GA",
"postal_code": "30097",
"telephone_number": "770-495-6222",
"fax_number": "770-495-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 PREMIERE PKWY",
"address_2": "SUITE #140",
"city": "DULUTH",
"state": "GA",
"postal_code": "30097",
"telephone_number": "770-495-6222",
"fax_number": "770-495-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONEIT",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "034204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000449611C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.