Active NPI
William Anthony Dufour, PA-C
- Physician Assistant
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10723
- Practice address
- 3324 Peach Orchard Rd Ste B
Augusta, GA 30906-4867 - Phone
- (706) 760-7607
- Fax
- (762) 706-0102
- NPI assigned
- Sep 7, 2021
- 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 | 10723 | GA | Primary |
Addresses
Primary practice location
3324 Peach Orchard Rd Ste B
Augusta, GA 30906-4867
Mailing address
3324 Peach Orchard Rd Ste B
Augusta, GA 30906-4867
Phone (706) 760-7607
Other practice location 1
4244 Washington Rd
Evans, GA 30809-3087
Phone (770) 823-3844
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wdufour622175@directwellstar.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 W Robinson Ave
Grovetown, GA 30813-2145
Phone (706) 446-4886
307 W Robinson Ave
Grovetown, GA 30813-2145
Phone (706) 760-7607
3324 Peach Orchard Rd
Augusta, GA 30906-4867
4244 Washington Rd
Evans, GA 30809-3087
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10723 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Anwan Wellness Medical Center PC | Past | Accepting new patients |
Locations
4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAGADD
- wdufour622175@directwellstar.org
- https://api.platform.athenahealth.com/18041/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Dallas, GA
- NPI 1063790350
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Specialist
- Hapeville, GA
- NPI 1497842777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1497424253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 PEACH ORCHARD RD STE B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309064867",
"telephone_number": "706-760-7607",
"fax_number": "762-706-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 PEACH ORCHARD RD STE B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309064867",
"telephone_number": "706-760-7607",
"fax_number": "762-706-0102"
}
],
"practiceLocations": [
{
"address_1": "4244 Washington Rd",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "GA",
"postal_code": "308093087",
"country_code": "US",
"telephone_number": "770-823-3844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFOUR",
"first_name": "WILLIAM",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-07",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10723",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wdufour622175@directwellstar.org",
"affiliation": "N",
"address_1": "3324 Peach Orchard Rd Ste B",
"city": "Augusta",
"state": "GA",
"country_code": "US",
"postal_code": "309064867",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.