William E. Roundtree M.D.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

021802 Issued in GA

Legal business name

WILLIAM E. ROUNDTREE M.D.,P.C.

Practice address

1716 Buena Vista Rd
Columbus, GA 31906-3003

Phone

(706) 324-3650

Fax

(706) 324-7510

NPI assigned

Oct 23, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Earl Roundtree, M.D.NPI 1932217999

Title

Physician

Phone

(706) 324-3650

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIGBBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Earl Roundtree, M.D.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1932217999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700075074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063003",
            "telephone_number": "706-324-3650",
            "fax_number": "706-324-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063003",
            "telephone_number": "706-324-3650",
            "fax_number": "706-324-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. ROUNDTREE M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-324-3650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "021802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C75484",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAIM BILLING ID",
            "identifier": "537001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00346321B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jacquelyne Williams-Jenkins
• Aleshia Williams
• Alexus Williams

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.