Active NPI
William Andrews Kemp Jr., LMT
- Mechanotherapist
- La Fayette, GA
National Provider Identifier
1326274648
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 19, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT005468
- Practice address
- 505 Sleepy Hollow Rd
La Fayette, GA 30728-2624 - Phone
- (423) 838-1429
- NPI assigned
- Jun 1, 2009
- Last updated
- Jun 1, 2009
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT005468 | GA | Primary |
Addresses
Primary practice location
505 Sleepy Hollow Rd
La Fayette, GA 30728-2624
Mailing address
505 Sleep Hollow Road
Lafayette, GA 30728
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT005468 | GA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1326274648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SLEEP HOLLOW ROAD",
"city": "LAFAYETTE",
"state": "GA",
"postal_code": "30728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SLEEPY HOLLOW RD",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307282624",
"telephone_number": "423-838-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "WILLIAM",
"middle_name": "ANDREWS",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "GA",
"license": "MT005468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Fayette, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.