William F Shivers Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

030214 Issued in GA

Practice address

267 N Harrington Rd
St Simons Island, GA 31522-5341

Phone

(912) 230-0030

Fax

(912) 634-0959

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• New Visions Inc.

  • Psychiatry Physician
  • St Simons Island, GA
  • NPI 1164684775
  NPD (past) Authorized official
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1790782431
  NPD
• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  NPD (past)
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720

  Psychiatry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1457420614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N HARRINGTON RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225341",
            "telephone_number": "912-230-0030",
            "fax_number": "912-634-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N HARRINGTON RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225341",
            "telephone_number": "912-230-0030",
            "fax_number": "912-634-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "030214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaside Drugs Inc
• Seaworthy Anesthesia, LLC
• Seaworthy Health LLC
• Yasmin Roisin Seay, MD
• Katie M Seymour, MPT
• John Franklin Sisley III, M.D.
• Laura Paige Slack, MD
• Amauri Smith, PT, DPT
• James Stratton Snow Jr., D.O.
• Southeast Georgia Therapy LLC

• Psychiatry Physician in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.