Willie D Epps Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57965 Issued in GA

Practice address

130 Stephenson Ave Ste 101
Savannah, GA 31405-5899

Phone

(912) 358-0231

Fax

(912) 358-0236

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler Hospital Hospital, Savannah, GA, CCN 110024
• St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFCIAA/Endpoint/FFCIAA

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

• Epps Medical Associates LLC

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1780914713

  GA

  Medicare reassignment Authorized official
• Memorial Health Urgentone, Inc.

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1801818844

  Family Medicine

  NPD (past)
• United Medical Center, Inc.

  • Contractor
  • Savannah, GA
  • NPI 1396936902
  NPD (past)
• United Therapy Inc

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1427096122

  Family Medicine

  NPD (past)
• Clinical Staffing Solutions P.C.

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1487684114
  NPD (past)
• Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1225067424
  NPD (past)

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

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889

  Hospital

  Care Compare affiliation
• Saint Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902832504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STEPHENSON AVE STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055899",
            "telephone_number": "912-358-0231",
            "fax_number": "912-358-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STEPHENSON AVE STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055899",
            "telephone_number": "912-358-0231",
            "fax_number": "912-358-0236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 Ford Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313248824",
            "country_code": "US",
            "telephone_number": "912-445-6110",
            "fax_number": "912-445-6127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Tibet Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314069028",
            "country_code": "US",
            "telephone_number": "912-358-0231",
            "fax_number": "912-358-0219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPPS",
        "first_name": "WILLIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "57965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504598094C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE-URGENTONE-SAVANNAH",
            "identifier": "582203199-004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G57965",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-URGENTONE-SAVANNAH",
            "identifier": "52210441-001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504598094D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-URGENTONE-POOLER",
            "identifier": "52210441-002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE-URGENTONE-POOLER",
            "identifier": "582203199-009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00394395",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epix Anesthesia of Georgia PC
• Savannah Epperley
• Shakeyah Epperson
• Epps Medical Associates LLC
• Raegan Epps
• Andrea Mamalakis Epting, LPC, MAC
• Hannah Noelle Erdman, OTD, OTR
• Stephanie Ernest, BCBA
• Michael Anthony Errico, D.O.
• Katina Graves Ervin, MA

• All providers in Savannah, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.