Individual provider Active NPI

William Ray Love Jr., PA

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1912617119
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14087 Issued in GA
Practice address
1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861
Phone
(770) 534-7200
NPI assigned
Nov 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X
Physician Assistant 363A00000X 14087 GA Primary

Addresses

Primary practice location

1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861

Mailing address

1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861
Phone (770) 534-7200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623000536 GA Practitioner - Physician Assistant 7416420393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Orthopaedics PCGroup PAC ID 6305805615, 19 clinicians

Practice addresses (Care Compare)

1240 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3861
Phone (770) 534-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopaedics, PC CurrentSince Jun 11, 2026 Accepting new patients
Specialty Orthopaedics, PC CurrentSince Jun 11, 2026 Accepting new patients

Locations

81 Prominence Ct
#100
Dawsonville, GA 30534
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1912617119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-534-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-534-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "14087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.