Active NPI
William Stephen Hutcheson, PA-C
- Physician Assistant
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4140
- Practice address
- 1908 Alice St
Waycross, GA 31501-6208 - Phone
- (912) 338-6010
- Fax
- (912) 287-2796
- NPI assigned
- May 11, 2007
- Last updated
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4140 | GA | Primary |
Addresses
Primary practice location
1908 Alice St
Waycross, GA 31501-6208
Mailing address
PO Box 173
Waycross, GA 31502-0173
Phone (912) 283-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 981425965B | Medicaid | GA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 Colonial Way
Jesup, GA 31545-0130
Phone (912) 588-9110
1481 Hwy 40 E
Kingsland, GA 31548-6507
Phone (912) 576-6865
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
305 Pineview Dr
Waycross, GA 31501-5229
Phone (912) 283-8444
316 Shirley Ave
Douglas, GA 31533-2332
Phone (912) 383-0815
3200 N Ashley St
Suite C
Valdosta, GA 31602-5911
Phone (229) 671-9160
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System in Waycross, Inc. | Past | Accepting new patients |
Interoperability endpoints
- william.hutcheson@hca5.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Waycross, GA
- NPI 1295266955
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1629283023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315020173",
"telephone_number": "912-283-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016208",
"telephone_number": "912-338-6010",
"fax_number": "912-287-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHESON",
"first_name": "WILLIAM",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "4140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "981425965B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.