William Thomas Carroll Iii, ACNPC-AG in Villa Rica, GA

William Thomas Carroll Iii, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Villa Rica, Georgia. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstar Medical Group Llc and his current practice location is 601 Dallas Hwy, Villa Rica, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 812-3000.

William Thomas Carroll Iii is licensed to practice in Georgia (license number 234604) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164002481.

Contact Information

	William Thomas Carroll Iii, ACNPC-AG
	601 Dallas Hwy, Villa Rica, GA 30180-1202
	(770) 812-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	William Thomas Carroll Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	601 Dallas Hwy, Villa Rica, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William Thomas Carroll Iii graduated from nursing school in 2018

NPI Data:

NPI Number: 1164002481
Provider Enumeration Date: 04/12/2021
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 5092119065
Enrollment ID: I20210812002933

Medical Identifiers

Medical identifiers for William Thomas Carroll Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164002481	NPI	-	NPPES
234604	Other	GA	RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	234604 (Georgia)	Primary
163WC0200X	Registered Nurse - Critical Care Medicine	234604 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Douglas Hospital	Douglasville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group Llc	6709065402	2734

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William Thomas Carroll Iii allows following entities to bill medicare on his behalf.

Entity Name	Apogee Medical Group Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214

Entity Name	Wellstar Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Thomas Carroll Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
William Thomas Carroll Iii, ACNPC-AG 601 Dallas Hwy, Villa Rica, GA 30180-1202 Ph: (770) 812-3000	William Thomas Carroll Iii, ACNPC-AG 601 Dallas Hwy, Villa Rica, GA 30180-1202 Ph: (770) 812-3000

Reviews and Comments

Nurse Practitioner Nurses in Villa Rica, GA

Anson Chin, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3283
Thomas Stuckey, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3294
Jennifer Lee Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180 Phone: 770-214-2800 Fax: 770-214-2803
Rahab Mona Muthoni, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Main St, Villa Rica, GA 30180 Phone: 770-462-1170
Mr. John Kamau Kiarie, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530
Jacqueline Brown, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-812-3579

William Thomas Carroll Iii, ACNPC-AG - Medicare Nurse Practitioner in Villa Rica, GA