McDuffie Surgical Clinic PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

033003 Issued in GA

Legal business name

MCDUFFIE SURGICAL CLINIC PC

Practice address

2512 University Dr
Thomson, GA 30824-0040

Phone

(706) 595-9950

Fax

(706) 597-8820

NPI assigned

Mar 7, 2007

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joe Terrell Wills, M.D.NPI 1770523318

Title

President

Phone

(706) 595-9950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe Terrell Wills, M.D.

  • Surgery Physician
  • Thomson, GA
  • NPI 1770523318
  Medicare reassignment Care Compare group NPD Authorized official
• Anne Wills Bowers, DO

  • Surgery Physician
  • Thomson, GA
  • NPI 1841677937
  Medicare reassignment Care Compare group NPD
• Jared Wyman Mitchell, M.D. PC

  • Surgery Physician
  • Augusta, GA
  • NPI 1770711343
  NPD
• Gregory K Patterson, MD

  • Surgery Physician
  • Thomasville, GA
  • NPI 1245219534
  NPD (past)
• Edward Terrell Wills, D.O.

  • Surgery Physician
  • Augusta, GA
  • NPI 1174960108
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1801926886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308241148",
            "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": "2512 UNIVERSITY DR",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308240040",
            "telephone_number": "706-595-9950",
            "fax_number": "706-597-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDUFFIE SURGICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-595-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "033003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McDuffie County Mental Health
• McDuffie County Nursing Home LLC (Thomson Health and Rehabilitation)
• McDuffie Coutny Board of Education
• McDuffie Medical Associates, PC
• McDuffie Podiatry and Wound Care, PC
• Michael Keith McGahee, RPH
• Merritt Echols McLaughlin, MD
• Michael S McQuaig, O.D.
• Mark T Messenger, D.P.M.
• Terry W. Miller, O.D.

• Surgery Physician in Thomson, GA
• Providers in Thomson, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.