Individual provider Active NPI

William Jay Suggs, MD

  • Surgery Physician
  • Decatur, AL
National Provider Identifier
1780670752
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25766 Issued in AL
Practice address
1405 7TH Street SE
Decatur, AL 35601
Phone
(256) 355-6414
Fax
(256) 355-6646
NPI assigned
Sep 23, 2005
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00025766 AL
Surgery Physician 208600000X 25766 AL Primary

Addresses

Primary practice location

1405 7TH Street SE
Decatur, AL 35601

Mailing address

P.O. Box 1029
Decatur, AL 35602-1029
Phone (256) 355-6414

Other identifiers 2

IdentifierTypeStateIssuer
009943036MedicaidAL
529923070MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050316000914 AL Practitioner - General Surgery 0042265654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Bariatrics and Minimally Invasive Surgery PCGroup PAC ID 6002116514, 2 clinicians

Practice addresses (Care Compare)

333 Whitesport Dr SW
Huntsville, AL 35801-6454
Phone (256) 274-4523

705 Bank St NE
Decatur, AL 35601-1609
Phone (256) 274-4523

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025766ALMDSurgery Physician
25766ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Bariatrics and Minimally Invasive Surgery, PC Surgery CurrentSince Jan 1, 2016 Accepting new patients
Surgical Associates of N Alabama Surgery CurrentSince Feb 11, 1997 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
The Surgery Group PA Surgery Past Accepting new patients

Locations

1405 7th St SE
Decatur, AL 35601
Phone (256) 355-6414

705 Bank St NE
Decatur, AL 35601
Phone (256) 221-6784

Organizations & group practices 4

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1780670752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1029",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356021029",
            "telephone_number": "256-355-6414",
            "fax_number": "256-355-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 7TH STREET SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-355-6414",
            "fax_number": "256-355-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "WILLIAM",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00025766",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "25766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009943036",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529923070",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.