Active NPI
William Clinton Storey, FNP-BC
- Family Nurse Practitioner
- Americus, GA
National Provider Identifier
1699245704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN248678
- 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
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 |
|---|---|---|---|---|
| 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.