Organization Active NPI

Dr. Bill'S Kids, PC

  • Pediatrics Physician
  • Cochran, GA
National Provider Identifier
1891067658
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47841 Issued in GA
Legal business name
DR. BILL'S KIDS, PC
Practice address
426 Ga Highway 26 E
Cochran, GA 31014-2837
Phone
(478) 934-2874
Fax
(478) 934-2876
NPI assigned
Feb 8, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. William Dinsmore Shilling III, MDNPI 1639177140
Title
Owner/Physician
Phone
(478) 934-2874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

426 GA Highway 26 E
Cochran, GA 31014
Phone (478) 934-2874

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 47841 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

426 Ga Highway 26 E
Cochran, GA 31014-2837

Mailing address

426 Ga Highway 26 E
Cochran, GA 31014-2837
Phone (478) 934-2874

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000943445CMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2012.

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1891067658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 GA HIGHWAY 26 E",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310142837",
            "telephone_number": "478-934-2874",
            "fax_number": "478-934-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 GA HIGHWAY 26 E",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310142837",
            "telephone_number": "478-934-2874",
            "fax_number": "478-934-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BILL'S KIDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "SHILLING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DINSMORE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-934-2874",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "47841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000943445C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cochran, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.