Individual provider Active NPI

William Douglas Knopf, MD

  • Cardiovascular Disease Physician
  • Macon, GA
National Provider Identifier
1922007541
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14970 Issued in TN
Practice address
6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone
(478) 254-2644
Fax
(478) 254-4924
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 023469 GA
Interventional Cardiology Physician 207RI0011X 023469 GA
Cardiovascular Disease Physician 207RC0000X 14970 TN Primary

Addresses

Primary practice location

6070 Lakeside Commons Dr
Macon, GA 31210-5778

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

1921 Alice St Ste 4A
Waycross, GA 31501-6202
Phone (912) 284-2460

Other identifiers 2

IdentifierTypeStateIssuer
1922007541MedicaidMT
000257639OPQRSTUVMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050125000099 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608831136 Reassigns benefits to 5 organizations
I20201125000850 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6608831136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Emory University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians
CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians
Middle Georgia Heart and Vascular Center, LLCGroup PAC ID 7012183650, 8 clinicians

Practice addresses (Care Compare)

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

1305 Ocilla Rd
Douglas, GA 31533-2209
Phone (912) 384-0600

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone (478) 254-2644

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Varicose vein removal21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023469GAMDCardiovascular Disease Physician
14970TNMDCardiovascular Disease Physician
TP982KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Feb 22, 2020 Accepting new patients
Health Services of Central Georgia, Inc Cardiovascular Disease CurrentSince Feb 7, 2018 Accepting new patients
Coffee Regional Medical Center, Inc Current Accepting new patients
Collier Hma Physician Management LLC CurrentSince Oct 1, 2020 Accepting new patients
Middle Georgia Heart and Vascular Center, LLC Cardiovascular Disease CurrentSince Sep 25, 2017 Accepting new patients
Phoebe Dorminy Family Care CurrentSince Sep 1, 2020 Accepting new patients
CRH Physician Practices, LLC CurrentSince Aug 19, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2020 Accepting new patients
Coffee Regional Medical Center CurrentSince Feb 22, 2020 Accepting new patients
The Atlatna Cardiology Group, PC Cardiovascular Disease Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients
St. Joseph's Hospital Past Accepting new patients

Locations

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1305 Ocilla Rd
Douglas, GA 31533
Phone (912) 384-0600

112 Corporate Sq
Dublin, GA 31021

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

120 N Lee St
Forsyth, GA 31029
Phone (229) 271-4652

321 S 9th St
Griffin, GA 30224
Phone (770) 227-3561

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

6070 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 960-9675

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

360 Hospital Dr
Ste 200
Macon, GA 31217
Phone (912) 755-0072

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

679 W Martin Luther King Jr Dr
Milledgeville, GA 31061

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1654 Watson Blvd
Warner Robins, GA 31093
Phone (478) 225-9882

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

Interoperability endpoints

  • Direct secure messaging: william.knopf.1@9964.direct.athenahealth.com
  • Direct secure messaging: william.knopf@mghvc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAGBA

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1922007541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 LAKESIDE COMMONS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105778",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Alice St Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315016202",
            "country_code": "US",
            "telephone_number": "912-284-2460",
            "fax_number": "912-284-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOPF",
        "first_name": "WILLIAM",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "023469",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "023469",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "14970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922007541",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000257639OPQRSTUV",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.