Individual provider Active NPI

William Nabors, MD

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1982614459
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
030841 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd NE
Ste 910
Atlanta, GA 30342-1731
Phone
(404) 255-3822
Fax
(404) 255-0495
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 030841 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd NE
Ste 910
Atlanta, GA 30342-1731

Mailing address

5673 Peachtree Dunwoody Rd NE
Ste 910
Atlanta, GA 30342-1731
Phone (404) 255-3822

Other identifiers 13

IdentifierTypeStateIssuer
203543680OtherGAVYTRA HEALTH PLAN
P00278300OtherGARAILROAD MEDICARE
P3680249OtherGAOXFORD
203543680OtherNYPREFERREDCARE
611747900OtherGAUS DEPT OF LABOR WC
BCBSOtherGA904116
030841OtherGAMEDICAL LICENSE
030841OtherGAMEDICARE PIN
4140464OtherGAAETNAUS HEALTHCARE
4140464OtherGAAETNAUS HEALTHCARE HMO
52550572OtherGABCBS QCARE
AH01OtherGAENVOY SITE
611747900OtherGAWC TX-FED EMPYS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyspecialistsatlanta@756.direct.myezyaccess.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000015 GA Practitioner - Urology 7618997982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of Atlanta North, LLCGroup PAC ID 4880912310, 8 clinicians

Practice addresses (Care Compare)

5673 Peachtree Dunwoody Rd
Suite 910
Atlanta, GA 30342-1776
Phone (404) 255-3822

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
77.79 of 100Reported as individual
Quality
62.3
Improvement activities
40
Cost
76.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030841GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Feb 1, 2014 Accepting new patients
Urology Specialists of Atlanta North, LLC Urology CurrentSince May 1, 2015 Accepting new patients

Locations

5673 Ptree Dunwoody Rd NE
Ste 910
Sandy Springs, GA 30342
Phone (404) 255-3822

5673 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 255-3822

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

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.

Hospital & facility affiliations 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982614459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-255-3822",
            "fax_number": "404-255-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-255-3822",
            "fax_number": "404-255-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "030841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLAN",
            "identifier": "203543680",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00278300",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3680249",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDCARE",
            "identifier": "203543680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "611747900",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "904116",
            "identifier": "BCBS",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "030841",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "030841",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNAUS HEALTHCARE",
            "identifier": "4140464",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNAUS HEALTHCARE HMO",
            "identifier": "4140464",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS QCARE",
            "identifier": "52550572",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENVOY SITE",
            "identifier": "AH01",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC TX-FED EMPYS",
            "identifier": "611747900",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyspecialistsatlanta@756.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5673 Peachtree Dunwoody Rd NE",
            "address_2": "Ste 910",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.