Active NPI
William M Sewell III, MD
- Obstetrics & Gynecology Physician
- Albany, GA
National Provider Identifier
1720071269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036452
- Practice address
- 2701 Meredyth Dr
Albany, GA 31707-2267 - Phone
- (229) 883-7010
- Fax
- (229) 903-1585
- NPI assigned
- Aug 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036452 | GA | Primary |
Addresses
Primary practice location
2701 Meredyth Dr
Albany, GA 31707-2267
Mailing address
2701 Meredyth Dr
Albany, GA 31707-2267
Phone (229) 883-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00539272B | Medicaid | GA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036452 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Veranda, PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2701 Meredyth Dr
Albany, GA 31707
Phone (229) 883-7010
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Albany, GA
- NPI 1841350063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1720071269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 MEREDYTH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072267",
"telephone_number": "229-883-7010",
"fax_number": "229-903-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 MEREDYTH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072267",
"telephone_number": "229-883-7010",
"fax_number": "229-903-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "WILLIAM",
"middle_name": "M",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "036452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00539272B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.