William J. Paneral, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

004211 Issued in GA

Practice address

961 E Winthrope Ave
Millen, GA 30442-1839

Phone

(706) 294-2196

Fax

(678) 819-0357

NPI assigned

Sep 22, 2006

Last updated

Aug 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Nova Southeastern College of Osteo Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Emergency Group, LLCGroup PAC ID 7012208408, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wpaneral3033719@carolinashealthcaresystem.direct-ci.com

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.

• Baldwin Emergency Group, LLC

  • Emergency Medicine Physician
  • Milledgeville, GA
  • NPI 1306206826
  Medicare reassignment Care Compare group NPD
• Hartwell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hartwell, GA
  • NPI 1962540849
  Medicare reassignment
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1013338193
  Medicare reassignment
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  GA

  Medicare reassignment
• Ar Medical LLC

  dba South Care Medical Center

  • Primary Care Clinic/Center
  • Hephzibah, GA
  • NPI 1659431708
  NPD
• Hartwell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lavonia, GA
  • NPI 1467710152
  NPD
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1467873547
  NPD
• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Early Memorial Hospital

  • Critical Access Hospital
  • Blakely, GA
  • NPI 1548214018
  NPD (past)
• Houston Emergency Physicians LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1558319947
  NPD (past)
• Reddy Urgent Care - Royston LLC

  dba Royston Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Royston, GA
  • NPI 1093847444
  NPD (past)
• Wellstar Cardiovascular Medicine, LLC

  • Cardiovascular Disease Physician
  • Marietta, GA
  • NPI 1457320319
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1871692897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306620529",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E WINTHROPE AVE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421839",
            "telephone_number": "706-294-2196",
            "fax_number": "678-819-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANERAL",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "004211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449873228C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449873228G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449873228D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449873228H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449873228F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449873228E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Millen, GA
• Providers in Millen, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.