Individual provider Active NPI

William Edwin Behm, M.D.

  • Diagnostic Radiology Physician
  • Carrollton, GA
National Provider Identifier
1881753291
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
068361 Issued in GA
Practice address
705 Dixie St
Carrollton, GA 30117-3818
Phone
(770) 836-9660
Fax
(678) 390-1002
NPI assigned
Dec 8, 2006
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 026264 LA
Diagnostic Radiology Physician 2085R0202X 0101241287 VA
Diagnostic Radiology Physician 2085R0202X 20290 MS
Diagnostic Radiology Physician 2085R0202X 068361 GA Primary

Addresses

Primary practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

119 Maple St Ste 205
Carrollton, GA 30117-3259
Phone (770) 834-0751

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
I20120813000166 GA Practitioner - Diagnostic Radiology 5395838221 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Medical Imagery of Newnan PCGroup PAC ID 5395738348, 38 clinicians

Practice addresses (Care Compare)

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026264LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2012 Accepting new patients
Georgia West Imaging, PC Diagnostic Radiology CurrentSince Aug 1, 2012 Accepting new patients
Georgia Radiology Services, LLC Diagnostic Radiology CurrentSince Oct 1, 2014 Accepting new patients
Radiology & Medical Imagery of Newnan, PC Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Montgomery Radiology Associates Inc Diagnostic Radiology PastSince Aug 11, 2024 Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Imaging Centers for Excellence, LLC Diagnostic Radiology PastSince Aug 1, 2006 Accepting new patients

Locations

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

101 Yorktown Dr
Ste 105
Fayetteville, GA 30214
Phone (770) 716-1111

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

1755 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 304-4249

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste 110
Newnan, GA 30265
Phone (770) 400-4300

10 Eastbrook Bnd
Peachtree Cty, GA 30269
Phone (770) 305-4674

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

4241 Vets Blvd
Ste 200
Metairie, LA 70006

Interoperability endpoints

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

Organizations & group practices 8

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 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1881753291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST STE 205",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173259",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-836-9660",
            "fax_number": "678-390-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHM",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "026264",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101241287",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "20290",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "068361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.