William Cheatam, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2678 Issued in GA

Practice address

3001 Gordon Hwy
Grovetown, GA 30813-3808

Phone

(706) 855-4748

Fax

(706) 855-4991

NPI assigned

May 29, 2015

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Georgia Dept. of Corrections

  • General Acute Care Hospital
  • Grovetown, GA
  • NPI 1578942769
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1598144065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SIMONTON CREST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453512",
            "telephone_number": "770-377-6580",
            "fax_number": "706-855-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GORDON HWY",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133808",
            "telephone_number": "706-855-4748",
            "fax_number": "706-855-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATAM",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Caughman, DMD
• Chelsea Cesarini
• Elizabeth Chandler
• Amanda Katherine Chappell
• Charlotte Austin Chatto
• Dashney Chery
• Chicare Creative Solutions
• Christine Cole, LPC, LLC
• Everald Clarke, P.T.
• Maddison Clayton

• Medical Physician Assistant in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.