Provider Demographics
NPI:1982744132
Name:WILLIAM B. SIMPSON JR., M.D., PC
Entity type:Organization
Organization Name:WILLIAM B. SIMPSON JR., M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-323-1988
Mailing Address - Street 1:1538 13TH AVE
Mailing Address - Street 2:SUITE 150-B
Mailing Address - City:COLUMBUS
Mailing Address - State:AL
Mailing Address - Zip Code:31901
Mailing Address - Country:US
Mailing Address - Phone:706-323-1988
Mailing Address - Fax:706-323-0281
Practice Address - Street 1:2101-A NORTH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:AL
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-323-1988
Practice Address - Fax:706-323-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA25040174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GU1235246406OtherNPI # (INDIVIDUAL)
GAE90947Medicare UPIN