Individual provider Active NPI

William Clinton Storey, FNP-BC

  • Family Nurse Practitioner
  • Americus, GA
National Provider Identifier
1699245704
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248678 Issued in GA
Practice address
618 E Lamar St
Americus, GA 31709-3738
Phone
(229) 928-8355
NPI assigned
Nov 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN248678 GA
Family Nurse Practitioner 363LF0000X RN248678 GA Primary

Addresses

Primary practice location

618 E Lamar St
Americus, GA 31709-3738

Mailing address

108 Spring Dr
Preston, GA 31824-3458
Phone (770) 366-3536

Other practice location 1

108 Spring Dr
Preston, GA 31824-3458
Phone (770) 366-3536

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1699245704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SPRING DR",
            "city": "PRESTON",
            "state": "GA",
            "postal_code": "318243458",
            "telephone_number": "770-366-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093738",
            "telephone_number": "229-928-8355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Preston",
            "state": "GA",
            "postal_code": "318243458",
            "country_code": "US",
            "telephone_number": "770-366-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "WILLIAM",
        "middle_name": "CLINTON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN248678",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.