Individual provider Active NPI

Barbara Bostwick Williams, DO

  • Obstetrics & Gynecology Physician
  • Statesboro, GA
National Provider Identifier
1609877059
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
049353 Issued in GA
Practice address
1523 Fair Rd
Statesboro, GA 30458-6025
Phone
(912) 871-2000
Fax
(912) 871-2500
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 049353 GA Primary

Addresses

Primary practice location

1523 Fair Rd
Statesboro, GA 30458-6025

Mailing address

PO Box 1958
Statesboro, GA 30459-1958
Phone (912) 871-2000

Other identifiers 3

IdentifierTypeStateIssuer
01394192OtherGAAMERIGROUP
428778302DMedicaidGA
428778302IMedicaidGA

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
I20050824001026 GA Practitioner - Obstetrics/Gynecology 2466483987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statesboro OB-GYN Specialists, PCGroup PAC ID 0840181822, 3 clinicians

Practice addresses (Care Compare)

1523 Fair Rd
Statesboro, GA 30458-6025
Phone (912) 871-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049353GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statesboro OB-GYN Specialists, PC CurrentSince Jan 1, 2011 Accepting new patients
The Women'S Surgery Center, LLC CurrentSince Sep 27, 2017 Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients
Evans Memorial Hospital, Inc. Past Accepting new patients

Locations

1523 Fair Rd
Statesboro, GA 30458
Phone (912) 871-2000

Interoperability endpoints

  • Direct secure messaging: barbara.williams.2@8182.direct.athenahealth.com
  • Direct secure messaging: barbara.williams.1@8182.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8182/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.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1609877059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591958",
            "telephone_number": "912-871-2000",
            "fax_number": "912-871-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586025",
            "telephone_number": "912-871-2000",
            "fax_number": "912-871-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BARBARA",
        "middle_name": "BOSTWICK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "049353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01394192",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428778302D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428778302I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.