William A Willoughby, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

038407 Issued in GA

Practice address

821 N Cobb St
Milledgeville, GA 31061-2343

Phone

(478) 452-0524

Fax

(478) 452-0525

NPI assigned

Jul 17, 2006

Last updated

Apr 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Diagnostic Radiology

Education

Medical College of Georgia School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians

Sterling Radiology LLCGroup PAC ID 1254705338, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
• Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
• Union General Hospital Hospital, Blairsville, GA, CCN 110051
• Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086
• Jasper Memorial Hospital Hospital, Monticello, GA, CCN 111303

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 56)

Interoperability endpoints

• Direct secure messaging: tony.wiloghby@oconeeregional.gadirect.net
• Direct secure messaging: william.willoughy@oconeeregional.gadirect.net

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.

• South Georgia Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1760669931
  Medicare reassignment Care Compare group NPD
• Sterling Radiology LLC

  dba Sterling Group Radiology

  • Body Imaging Physician
  • Moultrie, GA
  • NPI 1770295537
  Medicare reassignment Care Compare group NPD
• Oconee Radiology Associates

  • Diagnostic Radiology Physician
  • Milledgeville, GA
  • NPI 1912074469
  Medicare reassignment
• Bca Georgia, LLC

  dba Lakeside Imaging

  • Radiology Clinic/Center
  • Milledgeville, GA
  • NPI 1679294227
  NPD
• Regional Open MRI, LLC

  • Radiology Clinic/Center
  • Thomson, GA
  • NPI 1528128790
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of Washington County

  dba Washington County Regional Medical Center

  • Rural Acute Care Hospital
  • Sandersville, GA
  • NPI 1396770004
  Care Compare affiliation
• Hospital Authority of Washington County

  • Physical Therapy Clinic/Center
  • Sandersville, GA
  • NPI 1528619491

  Hospital

  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  dba wayne memorial hospital

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999
  Care Compare affiliation
• Jasper Health Services, Inc.

  dba Jasper Memorial Hospital

  • Critical Access Hospital
  • Monticello, GA
  • NPI 1225031750
  Care Compare affiliation
• Tift Regional Health System Inc.

  dba Tift Regional Medical Center

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare affiliation
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1609894708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 SHACKLEFORD CT",
            "address_2": "SUITE 350",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932954",
            "telephone_number": "770-688-3801",
            "fax_number": "770-237-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-452-0524",
            "fax_number": "478-452-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "038407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00828066A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "038407",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00913763",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Sheveeta Williams
• Trevin Ahmaderic Williams
• Charles Davis Williamson, MD
• Heather Williamson, NP-C
• Willis Reid Roberts, Jr. (W. Reid Roberts, Jr., M.D.)
• James A Wilson, MD
• Joseph Daniel Wilson, ATC; LAT
• Porter Hamilton Wimberly
• Wolf Creek ENT LLC (Cathy's Eye Care)
• Patricia Joann Wolf, LCSW

• Diagnostic Radiology Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.

Verify at the official NPI Registry.