WILLIAM GREENE SUTLIVE III MD
NPI 1043463524
General Practice in Savannah, GA

Active since October 29, 2008Opted out of Medicare · through Jul 1, 2027
6555 ABERCORN ST STE 129, SAVANNAH, GA 31405(912) 341-6007(912) 428-5621 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Nov 12, 2021 (2 updates tracked since 2021).

About William Greene Sutlive Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM GREENE SUTLIVE III MD (NPI 1043463524) is an individual general practice provider in Savannah, Georgia, licensed in Georgia (23235) and active in the NPI registry since October 2008. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1043463524
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWILLIAM GREENE SUTLIVE IIICredential: MD
Location Address6555 ABERCORN ST STE 129Savannah, GA 31405-5723
Mailing Address6555 Abercorn St Ste 129Savannah, GA 31405-5723 · (912) 341-6007 · Fax (912) 428-5621
Fax(912) 428-5621
Sole ProprietorNo
Enumeration DateOctober 29, 2008
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1043463524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 23235
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6555 ABERCORN ST STE 129, Savannah, GA 31405

Other Identifiers 1

Other87-0964385GA · Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

William Greene Sutlive Iii Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
6555 ABERCORN ST STE 129
SAVANNAH, GA 31405
Pain Medicine (Interventional Pain Medicine)
6555 ABERCORN ST STE 129
SAVANNAH, GA 31405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Sutlive's NPI number?

The NPI number for William Sutlive is 1043463524. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is William Sutlive located?

William Sutlive practices at 6555 Abercorn St Ste 129, Savannah, GA 31405. The listed phone number is (912) 341-6007.

What is William Sutlive's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is William Sutlive enrolled in Medicare?

No. William Sutlive has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for William Sutlive was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.