Individual provider Active NPI

William Wagner Rose III, M.D.

  • Specialist
  • Decatur, GA
National Provider Identifier
1619995271
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
045331 Issued in GA
Practice address
2675 N Decatur Rd
Suite 701
Decatur, GA 30033-6131
Phone
(404) 299-6488
Fax
(404) 299-7522
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 31662 WV
Specialist 174400000X 045331 GA Primary

Addresses

Primary practice location

2675 N Decatur Rd
Suite 701
Decatur, GA 30033-6131

Mailing address

2675 N Decatur Rd Ste 701
Decatur, GA 30033-6135
Phone (404) 299-6488

Other practice location 1

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other identifiers 2

IdentifierTypeStateIssuer
00818529EMedicaidGA
1619995271MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221103001730 WV Practitioner - Vascular Surgery 4183891542 Reassigns benefits to 3 organizations
I20231201001971 GA Practitioner - Vascular Surgery 4183891542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Michigan State University College of Human Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

10 Medical Park
Suite 104
Wheeling, WV 26003-6389
Phone (304) 242-4800

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133

705 Garfield Ave
Suite 460
Parkersburg, WV 26101-5444
Phone (304) 424-4763

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)23
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 20, 2022 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jun 12, 2025 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Jul 1, 2024 Accepting new patients
Wheeling Hospital Inc CurrentSince Nov 20, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Oct 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 20, 2022 Accepting new patients
Dekalb Medical Center, Inc. Current Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

2675 N Decatur Rd
Ste 701
Decatur, GA 30033
Phone (404) 299-6488

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

705 Garfield Ave
Ste 460
Parkersburg, WV 26101
Phone (304) 424-2093

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

10 Medical Park
Ste 104
Wheeling, WV 26003
Phone (304) 242-4800

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: william.rose@gadirect.net
  • Direct secure messaging: wrose341560@direct.wvuhsdirect.com

Organizations & group practices 8

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 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1619995271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD STE 701",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336135",
            "telephone_number": "404-299-6488",
            "fax_number": "404-299-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 701",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-299-6488",
            "fax_number": "404-299-7522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "WILLIAM",
        "middle_name": "WAGNER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "31662",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "045331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00818529E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619995271",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.