NPIMap

Individual provider Active NPI

William Stephen Tankersley, MD

  • Orthopaedic Surgery Physician
  • Statesboro, GA
National Provider Identifier
1700850948
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
034484 Issued in GA
Practice address
16915 Highway 67 South
Suite a
Statesboro, GA 30458
Phone
(912) 681-2500
Fax
(912) 681-2025
NPI assigned
Feb 15, 2006
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 034484 GA Primary

Addresses

Primary practice location

16915 Highway 67 South
Suite a
Statesboro, GA 30458

Mailing address

210 East Derenne Ave
Attn- Provider Enrollment
Savannah, GA 31405
Phone (912) 644-5300

Other identifiers 12

IdentifierTypeStateIssuer
200036693OtherRAILROAD MEDICARE
53003473OtherAETNA
12043OtherBCBS OF NC
380326550BMedicaidGA
2167312OtherAETNA US HEALTHCARE
0382260001OtherDMERC MEDICARE SUPPLIES
89026OtherMEDCOST
8912043MedicaidNC
0942075OtherUNITED HEALTHCARE
5374830002OtherCIGNA HEALTHCARE
31743OtherPARTNERS MEDICARE
23258OtherPRINCIPAL HEALTHCARE

Other names 1

  • Dr. William Stephen Tankersley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000574 GA Practitioner - Orthopedic Surgery 3274690805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tattnall Hospital Company LLCGroup PAC ID 6204907124, 47 clinicians

Practice addresses (Care Compare)

16915 Hwy 67 S
Suite a
Statesboro, GA 30458-5819
Phone (912) 681-2500

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement41
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034484GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopedics PA Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.tankersley.1@16403.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1700850948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EAST DERENNE AVE",
            "address_2": "ATTN- PROVIDER ENROLLMENT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 HIGHWAY 67 SOUTH",
            "address_2": "SUITE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "034484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200036693",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "53003473",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "12043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380326550B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2167312",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC MEDICARE SUPPLIES",
            "identifier": "0382260001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "89026",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912043",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0942075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "5374830002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "31743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL HEALTHCARE",
            "identifier": "23258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "TANKERSLEY",
            "middle_name": "STEPHEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.