DR. WILLIAM H WHALEY MD
NPI 1679551261
Internal Medicine - Hematology & Oncology in Blue Ridge, GA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
101 RIVERSTONE VIS STE 102, BLUE RIDGE, GA 30513(706) 258-4140(706) 258-4141 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2020, May 12, 2020 (2 updates tracked since 2020).

About Dr. William H Whaley Md NPPES

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

DR. WILLIAM H WHALEY MD (NPI 1679551261) is an individual hematology & oncology provider in Blue Ridge, Georgia, licensed in Georgia (011504) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Medical College Of Georgia School Of Medicine (1966).

NPPES Registry Identity

NPI1679551261
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. WILLIAM H WHALEYCredential: MD
Location Address101 RIVERSTONE VIS STE 102Blue Ridge, GA 30513-6630
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (706) 258-4140 · Fax (706) 258-4141
Fax(706) 258-4141
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1966
Enumeration DateJanuary 4, 2006
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
NPI 1679551261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in GA · 011504
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

101 RIVERSTONE VIS STE 102, Blue Ridge, GA 30513

Other Identifiers 2

Medicaid000093684MGA
Medicaid000093684LGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. William H Whaley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618869421
PECOS Enrollment IDI20040326000751
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services186 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
281 services169 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Pharmacist
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Internal Medicine (Hematology & Oncology)
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Nurse Practitioner
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Internal Medicine (Hematology & Oncology)
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Nurse Practitioner (Family)
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Nurse Practitioner
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513
Nurse Practitioner (Family)
101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA 30513

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 Whaley's NPI number?

The NPI number for William Whaley is 1679551261. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is William Whaley located?

William Whaley practices at 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513. The listed phone number is (706) 258-4140.

What is William Whaley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is William Whaley enrolled in Medicare?

Yes. William Whaley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Whaley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list William Whaley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Whaley affiliated with any hospitals?

According to CMS data, William Whaley is affiliated with Northside Hospital Cherokee, Union General Hospital, Northside Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for William Whaley was last updated on August 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.