Individual provider Active NPI

William Preston Fogle, MD

  • Surgery Physician
  • Griffin, GA
National Provider Identifier
1831139021
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
056287 Issued in GA
Practice address
220 W College St Ste B
Griffin, GA 30224-4250
Phone
(770) 233-1080
Fax
(770) 233-3680
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 056287 GA Primary

Addresses

Primary practice location

220 W College St Ste B
Griffin, GA 30224-4250

Mailing address

220 W College St Ste B
Griffin, GA 30224-4250
Phone (770) 233-1080

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

LicenseStateTypeSpecialty
25970NCMDAddiction (Substance Use Disorder) Counselor
056287GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Clinic of Griffin-Spalding, P.C. Surgery Past Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery Past Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1831139021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244250",
            "telephone_number": "770-233-1080",
            "fax_number": "770-233-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244250",
            "telephone_number": "770-233-1080",
            "fax_number": "770-233-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "WILLIAM",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "056287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.