Individual provider Active NPI

Gordon Stokely Williford, M.D.

  • Anesthesiology Physician
  • Augusta, GA
National Provider Identifier
1851322390
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
035544 Issued in GA
Practice address
1350 Walton Way
Augusta, GA 30901-2612
Phone
(706) 737-9250
Fax
(706) 733-0697
NPI assigned
Jul 5, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 035544 GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 035544 GA

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901-2612

Mailing address

1824 Walton Way
Augusta, GA 30904-3804
Phone (706) 737-9250

Other identifiers 3

IdentifierTypeStateIssuer
050060795OtherGARAILROAD MEDICARE
000624654BMedicaidGA
G35544MedicaidSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000425 GA Practitioner - Anesthesiology 5799959771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Consultants of Augusta LLCGroup PAC ID 6204905763, 79 clinicians

Practice addresses (Care Compare)

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 855-9860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035544GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Group Services, LLC Anesthesiology CurrentSince Jul 20, 2023 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Jan 10, 2024 Accepting new patients
Anesthesia Consultants of Augusta, LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Jul 20, 2023 Accepting new patients
Aos Surgery Center LLC Past Accepting new patients
Anesthesia and Pain Medicine Anesthesiology Past Accepting new patients

Locations

1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

811 13th St
Ste 21
Augusta, GA 30901
Phone (706) 396-3700

915 Russell St
Augusta, GA 30904
Phone (706) 737-4255

635 Ronald Reagan Dr
Evans, GA 30809
Phone (706) 868-3100

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

569 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 466-4541

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1851322390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043804",
            "telephone_number": "706-737-9250",
            "fax_number": "706-733-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-737-9250",
            "fax_number": "706-733-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "GORDON",
        "middle_name": "STOKELY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "035544",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "035544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050060795",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000624654B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G35544",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.