NPIMap

Individual provider Active NPI

William A Gammill, DO

  • Internal Medicine Physician
  • Enterprise, AL
National Provider Identifier
1437199908
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO 868 Issued in AL
Practice address
101 E Brunson St
Suite 200
Enterprise, AL 36330-2526
Phone
(334) 393-3686
Fax
(334) 347-4906
NPI assigned
Jun 6, 2006
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO868 AL
Internal Medicine Physician 207R00000X DO 868 AL Primary
Pediatrics Physician 208000000X DO868 AL

Addresses

Primary practice location

101 E Brunson St
Suite 200
Enterprise, AL 36330-2526

Mailing address

101 E Brunson St
Suite 200
Enterprise, AL 36330-2526
Phone (334) 393-3686

Other identifiers 1

IdentifierTypeStateIssuer
009980585MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000067 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2264490101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Medical Associates PCGroup PAC ID 3375574106, 11 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 200
Enterprise, AL 36330-2500
Phone 3343030266194

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO868ALMDEmergency Medicine Physician
DO 868ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Associates PC Internal Medicine CurrentSince Mar 16, 2010 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Northern Alabama Physicians, LLP Emergency Medicine Current Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Dec 1, 2016 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Dec 1, 2016 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Southland Medical Solutions of Ozark, PL Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Southland Hospitalist at Ozark, PL Emergency Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

101 E Brunson St
Ste 200
Enterprise, AL 36330
Phone (334) 303-0266

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

75 Remit Dr
Chicago, IL 60675

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1437199908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-393-3686",
            "fax_number": "334-347-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-393-3686",
            "fax_number": "334-347-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMILL",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO868",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO 868",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009980585",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.