Active NPI
Gary Benton Williamson, MD
- Plastic and Reconstructive Surgery Physician
- Augusta, GA
National Provider Identifier
1992721930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 023314
- Practice address
- 2258 Wrightsboro Rd
Suite 180
Augusta, GA 30904 - Phone
- (706) 737-8827
- Fax
- (706) 737-8916
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 023314 | GA | Primary |
Addresses
Primary practice location
2258 Wrightsboro Rd
Suite 180
Augusta, GA 30904
Mailing address
2258 Wrightsboro Rd
Suite 180
Augusta, GA 30904
Phone (706) 737-8827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Williamson, M.D., P.C. | Past | Accepting new patients | |
| Augusta Aesthetic Surgery | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Augusta, GA
- NPI 1003841511
-
- Plastic Surgery Physician
- Augusta, GA
- NPI 1710249966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992721930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 WRIGHTSBORO RD",
"address_2": "SUITE 180",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30904",
"telephone_number": "706-737-8827",
"fax_number": "706-737-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 WRIGHTSBORO RD",
"address_2": "SUITE 180",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30904",
"telephone_number": "706-737-8827",
"fax_number": "706-737-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "GARY",
"middle_name": "BENTON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "023314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.