Active NPI
William H. Cantey M.D., P.C.
- Surgery Physician
- Baxley, GA
National Provider Identifier
1992065072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 055731
- Legal business name
- WILLIAM H. CANTEY M.D., P.C.
- Practice address
- 510 S Main St
Suite a
Baxley, GA 31513-0181 - Phone
- (912) 367-0355
- Fax
- (912) 367-0118
- NPI assigned
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William H Cantey, MD
- Title
- President
- Phone
- (912) 367-0355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 055731 | GA | Primary |
Addresses
Primary practice location
510 S Main St
Suite a
Baxley, GA 31513-0181
Mailing address
PO Box 368
Baxley, GA 31515-0368
Phone (912) 367-0355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667242399A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- William H Cantey MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Baxley, GA
- NPI 1073900197
Locations
510 S Main St
Ste A
Baxley, GA 31513
Phone (912) 705-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1992065072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315150368",
"telephone_number": "912-367-0355",
"fax_number": "912-367-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S MAIN ST",
"address_2": "SUITE A",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130181",
"telephone_number": "912-367-0355",
"fax_number": "912-367-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM H. CANTEY M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "CANTEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-367-0355",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "055731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "667242399A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baxley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.