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

Q: 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.

Q: What is William Whaley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Whaley was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 04, 2006PECOS Enrolled

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: October 18, 2026.

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

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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.

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

Phone(706) 258-4140

Fax(706) 258-4141

Sole ProprietorNo

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

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Other Identifiers 2

Medicaid000093684MGA

Medicaid000093684LGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William H Whaley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show William Whaley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC

61 mi

Hematology & Oncology

1100 JOHNSON FERRY RD NE, SUITE 600
Sandy Springs, GA 30342

Reassigned Medicare billing, Georgia enrollment
163 clinicians in this Medicare group

NPI 1144571381 (404) 256-4777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

82 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

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

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

Quality

70.82

Improvement Activities

Cost

40.24

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.

SARAH JEANNE WOOD

Internal Medicine (Hematology & Oncology)