Individual provider Active NPI

William Gaines Dobbins, NP-C

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1770314593
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN254545 Issued in GA
Practice address
4068 Gramercy Dr
Valdosta, GA 31605-6091
Phone
(229) 546-5652
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN254545 GA Primary

Addresses

Primary practice location

4068 Gramercy Dr
Valdosta, GA 31605-6091

Mailing address

4068 Gramercy Dr
Valdosta, GA 31605-6091
Phone (229) 546-5652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305000574 GA Practitioner - Nurse Practitioner 5395266548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

Practice addresses (Care Compare)

100 Doctors Dr
Suite I
Douglas, GA 31533-2211
Phone (229) 387-8061

1622 Madison Ave
Tifton, GA 31794-3756
Phone (229) 387-8061

2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN254545GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Center LLC CurrentSince Dec 19, 2024 Accepting new patients
Care Medical Center LLC CurrentSince Dec 19, 2024 Accepting new patients

Locations

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 2

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1770314593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 GRAMERCY DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056091",
            "telephone_number": "229-546-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 GRAMERCY DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056091",
            "telephone_number": "229-546-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "WILLIAM",
        "middle_name": "GAINES",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.