Individual provider Active NPI

William Scott Rowell, PAC

  • Orthopaedic Surgery Physician
  • Jesup, GA
National Provider Identifier
1356432306
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
003214 Issued in GA
Practice address
110 Professional CT
Jesup, GA 31545-0044
Phone
(912) 427-0800
Fax
(912) 427-6029
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 003214 GA Primary

Addresses

Primary practice location

110 Professional CT
Jesup, GA 31545-0044

Mailing address

110 Professional CT
PO Box 1334
Jesup, GA 31545-0044
Phone (912) 427-0800

Other identifiers 2

IdentifierTypeStateIssuer
100002585AOtherGAMEDICAID PEACHSTATE
000374921CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000339 GA Practitioner - Physician Assistant 9830265784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Institute of South Georgia, P.C.Group PAC ID 7719053651, 9 clinicians

Practice addresses (Care Compare)

110 Professional CT
Jesup, GA 31545-0044
Phone (912) 427-0800

948 S Main St
Baxley, GA 31513-0138
Phone (912) 427-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003214GAMDOrthopaedic Surgery Physician

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.

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1356432306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "address_2": "PO BOX 1334",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWELL",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "003214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PEACHSTATE",
            "identifier": "100002585A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000374921C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.