Active NPI
William Lyle Myers, P.A.
- Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003535
- Practice address
- 210 E Derenne Ave
Savannah, GA 31405-6736 - Phone
- (912) 644-5300
- Fax
- (912) 644-5260
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003535 | GA | Primary |
Addresses
Primary practice location
210 E Derenne Ave
Savannah, GA 31405-6736
Mailing address
210 East Derenne Avenue
Savannah, GA 31405-4801
Phone (912) 644-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002013A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004000608 | GA | Practitioner - Physician Assistant | 4183816663 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optim Orthopedics LLC
Practice addresses (Care Compare)
17007 Hwy 67
Statesboro, GA 30458-2426
Phone (912) 681-2500
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
60 Exchange St
Suite B1
Richmond Hill, GA 31324-7644
Phone (912) 999-2072
810 Towne Park Dr
Suite 200
Rincon, GA 31326-5167
Phone (912) 826-2533
Hospital & facility affiliations
- St Joseph'S Hospital - Savannah
- Effingham Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tattnall Hospital Company, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Tattnall Hospital Company LLC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients | |
| Tattnall Hospital Company, LLC | Past | Accepting new patients |
Locations
821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486
242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140
790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868
961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626
119 Victory Dr
#B
Swainsboro, GA 30401
119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676
102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155
209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236
1724 Old Reynolds St
#B
Waycross, GA 31501
Interoperability endpoints
- william.myers.1@16403.direct.athenahealth.com
Organizations & group practices 19
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.
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Richmond Hill, GA
- NPI 1548653330
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1053704254
-
- Orthopaedic Surgery Physician
- Vidalia, GA
- NPI 1386038057
-
- Orthopaedic Surgery Physician
- Brunswick, GA
- NPI 1487047726
-
- Orthopaedic Surgery Physician
- Rincon, GA
- NPI 1730573841
-
- Orthopaedic Surgery Physician
- Statesboro, GA
- NPI 1801280664
-
- Orthopaedic Surgery Physician
- Metter, GA
- NPI 1578957247
-
- Neurological Surgery Physician
- Hawkinsville, GA
- NPI 1578197331
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": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1477510360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 EAST DERENNE AVENUE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054801",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "WILLIAM",
"middle_name": "LYLE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002013A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.