Individual provider Active NPI

William Anthony Dufour, PA-C

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1497424253
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10723 Issued in GA
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

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107000629 GA Practitioner - Physician Assistant 0941691620 Reassigns benefits to 1 organization

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
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

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

LicenseStateTypeSpecialty
10723GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAGADD
  • Direct secure messaging: wdufour622175@directwellstar.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.