Active NPI
William Leon Theus, MD
- Surgery Physician
- Calhoun, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 037091
- Practice address
- 1035 Red Bud Rd NE Ste 200
Calhoun, GA 30701-6010 - Phone
- (706) 602-8300
- Fax
- (706) 625-6955
- NPI assigned
- Sep 12, 2006
- Last updated
- Jan 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 037091 | GA | Primary |
Addresses
Primary practice location
1035 Red Bud Rd NE Ste 200
Calhoun, GA 30701-6010
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703-7013
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 68.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 58 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 35 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037091 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Surgicalist LLC | Surgery | Current | Accepting new patients |
| Adventist Health System Georgia Inc | Current | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
1035 Red Bud Rd NE
Ste 105
Calhoun, GA 30701
Phone (706) 602-8300
1035 Red Bud Rd NE
Ste 200
Calhoun, GA 30701
Phone (706) 395-5750
Interoperability endpoints
- wtheus821370@adventhealth.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Homespun Hospice | Hospice | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) |
Mar 9, 2016 Mar 9, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Calhoun, GA
- NPI 1558710541
5% Or Greater Direct Ownership Interest, Corporate Officer
Organizations & group practices 3
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.
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Surgery Physician
- Calhoun, GA
- NPI 1215082490
-
- Surgery Physician
- Brooksville, FL
- NPI 1205580875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Calhoun, GA
- NPI 1073555256
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1982708509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307037013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 RED BUD RD NE STE 200",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307016010",
"telephone_number": "706-602-8300",
"fax_number": "706-625-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEUS",
"first_name": "WILLIAM",
"middle_name": "LEON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "037091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Kathryn Tilley Derrick, RD, LD
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- Megan Lauren Tirador
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.