Individual provider Active NPI

William Min, MD

  • Orthopaedic Trauma Physician
  • Lawrenceville, GA
National Provider Identifier
1841495710
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
70971 Issued in GA
Practice address
631 Professional Dr Ste 170
Lawrenceville, GA 30046-3392
Phone
(678) 312-2663
Fax
(770) 962-8587
NPI assigned
Jun 19, 2007
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-177377 IL
Orthopaedic Trauma Physician 207XX0801X 51764 SC
Orthopaedic Trauma Physician 207XX0801X 30917 AL
Orthopaedic Trauma Physician 207XX0801X A110738 CA
Orthopaedic Trauma Physician 207XX0801X 70971 GA Primary
Orthopaedic Trauma Physician 207XX0801X 176305 MT

Addresses

Primary practice location

631 Professional Dr Ste 170
Lawrenceville, GA 30046-3392

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice location 1

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 455-3650

Other identifiers 10

IdentifierTypeStateIssuer
07570265MedicaidMS
051120546OtherALBCBS
051120547OtherALBCBS
131856MedicaidAL
051120543OtherALBCBS
131850MedicaidAL
051120544OtherALBCBS
131852MedicaidAL
131854MedicaidAL
Z21050OtherALVIVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmin274585@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL, NC, SC, CA, IL, WY8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20111010000351 AL Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 2 organizations
I20140610001343 GA Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 4 organizations
I20150821013398 FL Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 1 organization
I20180508000868 NC Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 1 organization
I20191015001651 SC Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 1 organization
I20250115001084 CA Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 2 organizations
I20251023002433 IL Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 1 organization
I20251223003441 WY Practitioner - Orthopedic Surgery 4284759010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1000 Mar Walt Dr
Fort Walton Beach Medical Center
Fort Walton Beach, FL 32547-6708
Phone (850) 862-1111

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743
Phone (407) 321-4500

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

2173 Normandie Dr
Montgomery, AL 36111-2728
Phone (334) 438-2642

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

309 N Mangoustine Ave
Sanford, FL 32771-1098
Phone (321) 363-1754

4401 River Chase Dr
Phenix City, AL 36867
Phone (334) 732-3000

449 W 23Rd St
Panama City, FL 32405-4507
Phone (706) 324-6661

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 398-9491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-177377ILMDOrthopaedic Surgery Physician
30917ALMDOrthopaedic Trauma Physician
176305MTMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Oct 14, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2011 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Orthopedic Institute of Newport Beach Limited Partnership Orthopaedic Surgery CurrentSince Oct 17, 2025 Accepting new patients
Tift Regional Health System Inc CurrentSince Jan 12, 2018 Accepting new patients
Anmed Health CurrentSince Sep 4, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 14, 2026 Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 10, 2018 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jan 14, 2026 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Sep 4, 2019 Accepting new patients
Orthomidwest, PLLC Orthopaedic Surgery CurrentSince Oct 14, 2025 Accepting new patients
Enloe Medical Center Orthopaedic Surgery CurrentSince Mar 1, 2026 Accepting new patients
Tift Regional Health System Inc CurrentSince Jan 12, 2018 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Enloe Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

22 Corporate Plaza Dr
Newport Beach, CA 92660
Phone (949) 472-2703

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2325 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-5156

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: william.min.2@321.direct.athenahealth.com
  • Direct secure messaging: william.min.p1@direct.newportortho.nextgenshare.com
  • Direct secure messaging: wmin274585@direct.vidanthealth.com
  • Direct secure messaging: wmin36847@direct.anmedhealth.net

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1841495710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 170",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463392",
            "telephone_number": "678-312-2663",
            "fax_number": "770-962-8587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-455-3650",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIN",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-177377",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "SC",
            "license": "51764",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AL",
            "license": "30917",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A110738",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "GA",
            "license": "70971",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MT",
            "license": "176305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07570265",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120546",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120547",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131856",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120543",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131850",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120544",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131852",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131854",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "Z21050",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmin274585@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.