Individual provider Active NPI

William Blair, DO

  • Vascular & Interventional Radiology Physician
  • Augusta, GA
National Provider Identifier
1922486513
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
90927 Issued in GA
Practice address
630 13TH St Ste 250
Augusta, GA 30901-1017
Phone
(706) 724-2500
Fax
(706) 731-5289
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 1566 NE
Vascular & Interventional Radiology Physician 2085R0204X 90927 GA Primary

Addresses

Primary practice location

630 13TH St Ste 250
Augusta, GA 30901-1017

Mailing address

PO Box 418427
Boston, MA 02241-8427
Phone (610) 644-8900

Other practice location 1

3623 J Dewey Gray Cir Ste 100
Augusta, GA 30909-6511
Phone (706) 854-9932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, GA2 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
I20180807001455 NE Practitioner - Diagnostic Radiology 4587973961 Reassigns benefits to 1 organization
I20220509001514 GA Practitioner - Interventional Radiology 4587973961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vra Physicians III LLCGroup PAC ID 0042790768, 8 clinicians
Vascular Radiology Associates, IIGroup PAC ID 1456345651, 15 clinicians
Fresenius Vascular Care Augusta, LLCGroup PAC ID 8527227875, 9 clinicians

Practice addresses (Care Compare)

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 737-4575

630 13TH St
Suite 250
Augusta, GA 30901-1017
Phone (706) 724-2500

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90927GAMDVascular & Interventional Radiology Physician
1566NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
Vra Physicians III LLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Nebraska Health Imaging LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Fresenius Vascular Care Augusta, LLC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Vascular Radiology Associates, II Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3623 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 651-6700

1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

630 13th St
Ste 250
Augusta, GA 30901
Phone (706) 724-2500

630 13th St
Ste 105
Augusta, GA 30901
Phone (706) 724-2500

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: william.blair.p212@direct.aac.nextgenshare.com
  • Direct secure messaging: william.blair.p4@direct.aac.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1922486513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418427",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418427",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 13TH ST STE 250",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011017",
            "telephone_number": "706-724-2500",
            "fax_number": "706-731-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 J Dewey Gray Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096511",
            "country_code": "US",
            "telephone_number": "706-854-9932",
            "fax_number": "706-854-9304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1566",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "90927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.