DR. WILLIAM KOVALCZYK DPM
NPI 1174504872
Podiatrist in Grayson, GA

Q: What is William Kovalczyk's NPI number?

The NPI number for William Kovalczyk is 1174504872. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is William Kovalczyk's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for William Kovalczyk was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 09, 2005

148 MISSION OAK DR, GRAYSON, GA 30017(678) 376-5714 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. William Kovalczyk Dpm NPPES

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

DR. WILLIAM KOVALCZYK DPM (NPI 1174504872) is an individual podiatrist in Grayson, Georgia, licensed in Georgia (684) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1174504872

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. WILLIAM KOVALCZYKCredential: DPM

Location Address148 MISSION OAK DRGrayson, GA 30017-4153

Mailing AddressPo Box 846Snellville, GA 30078-0846 · (678) 376-5714

Phone(678) 376-5714

Sole ProprietorYes

Enumeration DateNovember 9, 2005

Last NPPES UpdateFebruary 7, 2011

✔ NPI 1174504872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in GA · 684

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

148 MISSION OAK DR, Grayson, GA 30017

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Other Identifiers 3

Medicare UPINT59489GA

Medicare ID-Type Unspecified48SCBNSGA

Medicaid00521474AGA

Other Providers at the Same Location NPPES

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

CENTERVILLE FOOT CARE, P.C.

Durable Medical Equipment & Medical Supplies

148 MISSION OAK DR
GRAYSON, GA 30017

Gwinnett County (770) 985-6879

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 Kovalczyk's NPI number?

The NPI number for William Kovalczyk is 1174504872. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is William Kovalczyk located?

William Kovalczyk practices at 148 Mission Oak Dr, Grayson, GA 30017. The listed phone number is (678) 376-5714.

What is William Kovalczyk's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for William Kovalczyk was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.