Oconee Wound Care Specialists LLC
Organization Active NPI Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Athens, GA
NPI 1376983262 · NPPES record last updated Sep 24, 2019
Key facts
- NPI
- 1376983262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X
- License
- 35243 (GA)
- Legal business name
- OCONEE WOUND CARE SPECIALISTS LLC
- Practice address
- 4017 Atlanta Hwy Ste a
Athens, GA 30606-0812 - Phone
- (706) 389-3065
- NPI assigned
- Jun 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. William A Dix, M.D.
- Title
- Secretary
- Phone
- (706) 549-0901
Practitioners 5
-
William Alexander Dix, M.D.
-
Rachel W Hamil, MD
-
Lisa M Perez, M.D.
-
Robert Price III, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130807000394 | GA | Part B Supplier - Clinic/Group Practice | 6800038605 |
Receives reassigned benefits from 5 practitioners Practice locations: Athens, GA |
National Provider Directory
Locations
4017 Atlanta Hwy
#A
Athens, GA 30606
Phone (706) 389-3065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
2083P0011X | 35243 | GA | Yes |
Addresses
Primary practice location
4017 Atlanta Hwy Ste a
Athens, GA 30606-0812
Mailing address
1570 Bob Godfrey Rd
Athens, GA 30605-5319
Other providers in Athens, GA
- Oconee Family Counseling, LLC
- Oconee Medical Group
- Oconee Nephrology Associates, Inc.
- Oconee Speech-Language Solutions
- Oconee Weight and Wellness, LLC
- Oladipo Odeyinka
- Odyssey Healthcare Operating B, LP
- Charles Lawton Ogburn III
- Olushesan Martins Ogundipe
- Grace Damilola Ogunkoya
All providers in Athens, GA · Undersea and Hyperbaric Medicine (Preventive Medicine) 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 Sep 24, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.