Individual provider Active NPI

Meredith Corzine Wills, D.O.

  • Anesthesiology Physician
  • Fort Gordon, GA
National Provider Identifier
1497019541
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
83951 Issued in GA
Practice address
300 East Hospital Road
Ft. Gordon, GA 30905
Phone
(706) 787-2656
NPI assigned
Jul 3, 2012
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 83951 GA Primary
Anesthesiology Physician 207L00000X 0102203594 VA

Addresses

Primary practice location

300 East Hospital Road
Ft. Gordon, GA 30905

Mailing address

300 East Hospital Road
Ft. Gordon, GA 30905
Phone (706) 787-2656

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510000658 GA Practitioner - Anesthesiology 1456738699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Consultants of Augusta LLCGroup PAC ID 6204905763, 79 clinicians

Practice addresses (Care Compare)

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 855-9860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83951GAMDAnesthesiology Physician
0102203594VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Augusta, LLC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

811 13th St
Ste 21
Augusta, GA 30901
Phone (706) 396-3700

915 Russell St
Augusta, GA 30904
Phone (706) 737-4255

635 Ronald Reagan Dr
Evans, GA 30809
Phone (706) 829-2584

569 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 466-4541

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1497019541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST HOSPITAL ROAD",
            "city": "FT. GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST HOSPITAL ROAD",
            "city": "FT. GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "MEREDITH",
        "middle_name": "CORZINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "83951",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102203594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

Verify at the official NPI Registry.