NPIMap

Organization Active NPI

Williams & Bush Partnership

  • Dentist
  • Leesburg, GA
National Provider Identifier
1710042007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011272 Issued in GA
Legal business name
WILLIAMS & BUSH PARTNERSHIP
Practice address
919 US Hwy 19 South
Leesburg, GA 31763
Phone
(229) 888-3550
Fax
(229) 888-0055
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jay A Williams, DMDNPI 1023225935
Title
Partner
Phone
(229) 888-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 011272 GA Primary

Addresses

Primary practice location

919 US Hwy 19 South
Leesburg, GA 31763

Mailing address

PO Box 681
Leesburg, GA 31763
Phone (229) 888-3550

Other names 1

  • Williams Bush Margeson and Wright Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Partners of Southwest Ga2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710042007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "31763",
            "telephone_number": "229-888-3550",
            "fax_number": "229-888-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 US HWY 19 SOUTH",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "31763",
            "telephone_number": "229-888-3550",
            "fax_number": "229-888-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS & BUSH PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "229-888-3550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Bush Margeson and Wright Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.