Active NPI
William Douglas Skelton, MD
- Psychologist
- Savannah, GA
National Provider Identifier
1811037682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010284
- Practice address
- 2011 Eisenhower Dr
Savannah, GA 31406-3905 - Phone
- (912) 644-5223
- Fax
- (912) 644-5230
- NPI assigned
- Feb 8, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010284 | GA | Primary |
Addresses
Primary practice location
2011 Eisenhower Dr
Savannah, GA 31406-3905
Mailing address
24 Oglethorpe Professional Blvd
Savannah, GA 31406-3613
Phone (912) 644-5223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010284 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty County Board of Health | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Hinesville, GA
- NPI 1245546704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811037682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 OGLETHORPE PROFESSIONAL BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063613",
"telephone_number": "912-644-5223",
"fax_number": "912-644-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063905",
"telephone_number": "912-644-5223",
"fax_number": "912-644-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "WILLIAM",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "010284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.