Individual provider Active NPI

William Hugus Dascombe, MD

  • Plastic Surgery Physician
  • Savannah, GA
National Provider Identifier
1619976107
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
38726 Issued in GA
Practice address
5361 Reynolds St
Savannah, GA 31405-6014
Phone
(912) 355-8000
Fax
(912) 355-8403
NPI assigned
Jul 18, 2005
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 38726 GA Primary

Addresses

Primary practice location

5361 Reynolds St
Savannah, GA 31405-6014

Mailing address

5361 Reynolds St
Savannah, GA 31405-6014
Phone (912) 355-8000

Other identifiers 1

IdentifierTypeStateIssuer
00629263BMedicaidGA

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
I20111213000386 GA Practitioner - Plastic and Reconstructive Surgery 4284548405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Brody School of Medicine at East Carolina University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Georgia Institute for Plastic Surgery IncGroup PAC ID 0749194967, 8 clinicians

Practice addresses (Care Compare)

5361 Reynolds St
Savannah, GA 31405-6014
Phone (912) 355-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision252
Removal of skin lesions1-10
Skin biopsy87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38726GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Georgia Institute for Plastic Surgery Inc Plastic Surgery CurrentSince Dec 1, 1997 Accepting new patients

Locations

5361 Reynolds St
Savannah, GA 31405
Phone (912) 355-8000

1230 Brampton Ave
Statesboro, GA 30458
Phone (912) 489-5437

3301 E 1st St
Vidalia, GA 30474
Phone (912) 537-4411

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1619976107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056014",
            "telephone_number": "912-355-8000",
            "fax_number": "912-355-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056014",
            "telephone_number": "912-355-8000",
            "fax_number": "912-355-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASCOMBE",
        "first_name": "WILLIAM",
        "middle_name": "HUGUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "38726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00629263B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.