WILLEM JEFFERSON DE VRIES
NPI 1235928466
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since May 05, 2025
1120 15TH ST # BI5070, AUGUSTA, GA 30912(706) 721-2423 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willem Jefferson De Vries NPPES

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

WILLEM JEFFERSON DE VRIES (NPI 1235928466) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (17397) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1235928466
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLEM JEFFERSON DE VRIES
Location Address1120 15TH ST # BI5070Augusta, GA 30912-0004
Mailing Address1120 15th St # Bi5070Augusta, GA 30912-0004
Sole ProprietorNo
Enumeration DateMay 5, 2025
NPPES CertifiedMay 4, 2025
NPI 1235928466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in GA · 17397
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 15TH ST # BI5070, Augusta, GA 30912

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Radiology (Diagnostic Radiology)
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Hospitalist
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912

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 Willem De Vries's NPI number?

The NPI number for Willem De Vries is 1235928466. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Willem De Vries located?

Willem De Vries practices at 1120 15th St # Bi5070, Augusta, GA 30912. The listed phone number is (706) 721-2423.

What is Willem De Vries's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Willem De Vries was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.