Active NPI
William Wagner Rose III, M.D.
- Specialist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 045331
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00818529E | Medicaid | GA | |
| 1619995271 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 23 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | 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
- william.rose@gadirect.net
- 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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.