Active NPI
William Cottrell Lang Jr., M.D.
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1346231925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 012509
- Practice address
- 3193 Howell Mill Rd NW
Suite 110
Atlanta, GA 30327-2119 - Phone
- (404) 352-0444
- Fax
- (404) 352-2529
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 012509 | GA | Primary |
Addresses
Primary practice location
3193 Howell Mill Rd NW
Suite 110
Atlanta, GA 30327-2119
Mailing address
3480 Preston Ridge Rd Ste 600
Credentialing Department
Alpharetta, GA 30005-5462
Phone (770) 300-0101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000922061J | Medicaid | GA | |
| 300027801 | Other | GA | RAILROAD MEDICARE |
| P00092169 | Other | GA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012509 | GA | MD | Diagnostic Radiology Physician |
| 12509 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Diagnostic Imaging, Inc | Diagnostic Radiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Brunswick, GA
- NPI 1922089713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1346231925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 PRESTON RIDGE RD STE 600",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055462",
"telephone_number": "770-300-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3193 HOWELL MILL RD NW",
"address_2": "SUITE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272119",
"telephone_number": "404-352-0444",
"fax_number": "404-352-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "WILLIAM",
"middle_name": "COTTRELL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "012509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000922061J",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300027801",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00092169",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.