Individual provider Active NPI

Joe Terrell Wills, M.D.

  • Surgery Physician
  • Thomson, GA
National Provider Identifier
1770523318
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
033003 Issued in GA
Practice address
462 Mt Pleasant Rd
Thomson, GA 30824-8123
Phone
(706) 595-9950
Fax
(706) 597-8820
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 033003 GA Primary

Addresses

Primary practice location

462 Mt Pleasant Rd
Thomson, GA 30824-8123

Mailing address

462 Mount Pleasant Rd
PO Box 1148
Thomson, GA 30824-8123
Phone (706) 595-9950

Other identifiers 1

IdentifierTypeStateIssuer
00430141AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000662 GA Practitioner - General Surgery 2163616020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McDuffie Surgical Clinic PC 2 clinicians

Practice addresses (Care Compare)

2512 University Dr NE
Thomson, GA 30824-0040
Phone (706) 595-9950

PO Box
Suite 1148
Thomson, GA 30824-1148

Hospital & facility affiliations

  • University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
96.93 of 100Reported as group
Quality
98.98
Promoting interoperability
100
Improvement activities
40
Cost
86.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux28
Melanoma (skin cancer) excision41
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McDuffie Surgical Clinic PC Surgery CurrentSince Jul 17, 1998 Accepting new patients

Locations

462 Mount Pleasant Rd
Thomson, GA 30824
Phone (706) 595-9950

2512 University Dr
Thomson, GA 30824
Phone (706) 595-9950

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71439

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Piedmont McDuffie HospitalThomson, GA, CCN 11U111 Hospital Corporate Director Jul 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1770523318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MOUNT PLEASANT RD",
            "address_2": "PO BOX 1148",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308248123",
            "telephone_number": "706-595-9950",
            "fax_number": "706-597-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MT PLEASANT RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308248123",
            "telephone_number": "706-595-9950",
            "fax_number": "706-597-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "JOE",
        "middle_name": "TERRELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "033003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00430141A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.