Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William Thomas Carroll III, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1164002481

William Thomas Carroll III, ACNPC-AG is a Nurse Practitioner in Villa Rica, Georgia. Qualified in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

601 Dallas Hwy
Villa Rica, GA 30180-1202
Phone: (770) 812-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 705 Dixie St, Carrollton, GA 30117-3818 — (770) 812-9666
  • 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 — (470) 644-8027

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 234604 (GA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 234604 (GA)

Record details

NPI number1164002481
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedApril 12, 2021
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Villa Rica