Individual provider Active NPI

William Ronald Berard, M.D.

  • Internal Medicine Physician
  • Carrollton, GA
National Provider Identifier
1992796882
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045172 Issued in GA
Practice address
101 Doctors Dr
Carrollton, GA 30117-4486
Phone
(770) 834-6208
Fax
(770) 830-7620
NPI assigned
Oct 31, 2005
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045172 GA Primary

Addresses

Primary practice location

101 Doctors Dr
Carrollton, GA 30117-4486

Mailing address

101 Doctors Dr
Carrollton, GA 30117-4486
Phone (770) 834-6208

Other identifiers 1

IdentifierTypeStateIssuer
00787641AMedicaidGA

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
I20100217000021 GA Practitioner - Internal Medicine 5991849853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
West Georgia Internal Medicine PCGroup PAC ID 9133114457, 7 clinicians

Practice addresses (Care Compare)

101 Doctors Dr
Carrollton, GA 30117-4486
Phone (770) 834-6208

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Internal Medicine PC Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients

Locations

101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863

706 Dixie St
Ste 300
Carrollton, GA 30117
Phone (770) 834-6208

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1992796882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DOCTORS DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174486",
            "telephone_number": "770-834-6208",
            "fax_number": "770-830-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOCTORS DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174486",
            "telephone_number": "770-834-6208",
            "fax_number": "770-830-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARD",
        "first_name": "WILLIAM",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "045172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00787641A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.