Individual provider Active NPI

William Clifford Stoll, DPM

  • Podiatrist
  • Atlanta, GA
National Provider Identifier
1811926900
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000947 Issued in GA
Practice address
3193 Howell Mill Rd NW
Suite 326
Atlanta, GA 30327-2119
Phone
(404) 355-4522
Fax
(404) 355-4512
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000947 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Suite 326
Atlanta, GA 30327-2119

Mailing address

3193 Howell Mill Rd NW
Suite 326
Atlanta, GA 30327-2119
Phone (404) 355-4522

Other identifiers 1

IdentifierTypeStateIssuer
815166212BMedicaidGA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000412 GA Practitioner - Podiatry 4880686948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000947GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
William C Stoll LLC Podiatrist CurrentSince Jun 1, 2003 Accepting new patients

Locations

253 N Main St
Alpharetta, GA 30009
Phone (770) 299-0345

705 Whitehead Rd
Athens, GA 30606
Phone (706) 549-9800

3193 Howell Mill Rd NW
Ste 326
Atlanta, GA 30327
Phone (404) 355-4522

600 Springhouse Cir
Stone Mountain, GA 30087
Phone (678) 684-3870

Interoperability endpoints

  • Direct secure messaging: william.stoll.1@30101.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1811926900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 326",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-355-4522",
            "fax_number": "404-355-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 326",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-355-4522",
            "fax_number": "404-355-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "WILLIAM",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815166212B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.