William Kevin Conley II, MD, MPH
Individual provider Active NPI Radiation Oncology Physician · Kings Bay, GA
NPI 1346477205 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1346477205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 54811-020 (WI)
- Practice address
- 881 Uss James Madison Rd
Kings Bay, GA 31547-2531 - Phone
- (912) 573-6021
- NPI assigned
- Jun 18, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140626000672 | MD | Order and Referring Only - Radiation Oncology |
5698990166 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54811-020 | WI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 54811-020 | WI | |
| Radiation Oncology Physician | 2085R0001X | 54811-020 | WI | Yes |
Addresses
Primary practice location
881 Uss James Madison Rd
Kings Bay, GA 31547-2531
Mailing address
2080 Child Street
Jacksonville, FL 32214-5005
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-1092
Other practice location 2
2015 Jefferson St
Jacksonville, FL 32206-3531
Phone (904) 588-1800
Other providers in Kings Bay, GA
- Kelly Renea Buchanan
- Thomas Alan Cade
- Norberto Caez
- Eleanor Lucero Capulong
- Jay D Carson
- Kenneth Andrew Conrad
- David F. Crawford
- Micheal Shane Curry
- Erica Lynn Day
- Barry Wayne Downing
All providers in Kings Bay, GA · Radiation Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.