William R. Primas, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME 59715 Issued in FL

Practice address

194 NE Hancock Ave
Madison, FL 32340-2546

Phone

(850) 973-8851

Fax

(850) 973-8365

NPI assigned

Jun 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760428288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 WELWYN WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323098204",
            "telephone_number": "850-894-2814",
            "fax_number": "850-894-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NE HANCOCK AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402546",
            "telephone_number": "850-973-8851",
            "fax_number": "850-973-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMAS",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME 59715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Blaine Baker Payne, D.O.
• Peacock Investment Enterprises
• Daniel B Perkins, MD
• Gena Plain, PA-C
• Jennifer Poucher
• Cina Quezada
• Martha Kelly Waldrep Reeves, ARNP
• Richard Edwards Construction
• Charlie E Richardson, M.D.
• Michele B Richardson, ARNP,FNP-BC

• Adult Medicine Physician in Madison, FL
• Providers in Madison, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.