Active NPI
William Gaines Dobbins, NP-C
- Family Nurse Practitioner
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN254545
- Practice address
- 4068 Gramercy Dr
Valdosta, GA 31605-6091 - Phone
- (229) 546-5652
- NPI assigned
- Aug 13, 2024
- Last updated
- Aug 13, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN254545 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Medical Center LLC | Current | Accepting new patients | |
| Care Medical Center LLC | Current | Accepting new patients |
Locations
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
Interoperability endpoints
- 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.
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coffee Regional Medical Center
- General Acute Care Hospital
- Douglas, GA
- NPI 1760419527
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.