William A Nish, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

031804 Issued in GA

Practice address

2510 Limestone Pkwy
Gainesville, GA 30501-2089

Phone

(770) 534-9933

Fax

(770) 534-8999

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

87.83 of 100Reported as group

Quality

80.36

Promoting interoperability

100

Improvement activities

40

Cost

79.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1891745212
  Medicare reassignment NPD
• Allergy & Asthma Care Center, LLC

  • Specialist
  • Gainesville, GA
  • NPI 1083744312
  NPD (past)
• Northeast Georgia Physicians Group, Inc.

  • Allergy Physician
  • Braselton, GA
  • NPI 1134749211
  NPD (past)
• Northeast Georgia Physicians Group, Inc.

  • Allergy Physician
  • Gainesville, GA
  • NPI 1699395772
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1821097643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LIMESTONE PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012089",
            "telephone_number": "770-534-9933",
            "fax_number": "770-534-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 River Pl Ste 380",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175605",
            "country_code": "US",
            "telephone_number": "770-848-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISH",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "031804",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "GA",
            "license": "03180",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "031804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00606559E",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wnish29402@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2510 Limestone Pkwy",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305012089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heidi T Nicholson, MD
• Richard Douglas Nickels, DDS
• Jason Jamesryan Rutland Nierenhausen, ATC
• Derek Nathaniel Nikolaus
• Joy Nish Nix, DO
• Margaret Jesseca Nivens
• Billie Nix-Beddingfield, FNP
• Rebecca L Nix, LPC
• NJ Medical Services PC
• Christine Marie Noguere, LPC

• Allergy & Immunology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.