Active NPI
William Howard, M.D.
- Dermatology Physician
- Valdosta, GA
National Provider Identifier
1679574867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 017528
- Practice address
- 2704 N Oak St
Valdosta, GA 31602-1744 - Phone
- (229) 247-2595
- NPI assigned
- Aug 10, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 017528 | GA | Primary |
Addresses
Primary practice location
2704 N Oak St
Valdosta, GA 31602-1744
Mailing address
2704 N Oak St
Valdosta, GA 31602-1744
Phone (229) 247-2595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070017719 | Other | GA | RR MEDICARE PROVIDER ID |
| 480581 | Other | GA | BCBS OF GA PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017528 | GA | MD | Pharmacist |
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.
-
- Dermatology Physician
- Valdosta, GA
- NPI 1073843652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1679574867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 N OAK ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021744",
"telephone_number": "229-247-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N OAK ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021744",
"telephone_number": "229-247-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "017528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER ID",
"identifier": "070017719",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA PROVIDER ID",
"identifier": "480581",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Hospital Authority of Valdosta and Lowndes County, Georgia (SGMC Physician's Group)
- Hospital Authority of Valdosta and Lowndes County, Georgia (Smith Northview Hospital, A Campus of South Georgia Medical Center)
- Hospital Authority of Valdosta and Lowndes County, Georgia (SGMC Urgent Care)
- Terrance Howard
- Velmesha Denise Howard
- Harold Ragan Howe III, MD
- Sarah Ann Howell
- Susan B Howell, APRN
- Wilhelmenia Howell, PHD
- Emily C Hoyt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.