WILLIAM HENRY ENNIS (M.D.) – Radiation Oncology Physician, NPI 1245610914

WILLIAM HENRY ENNIS (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MD39097 (AL). The NPI Number for WILLIAM HENRY ENNIS (M.D.) is 1245610914

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM HENRY ENNIS (M.D.)
NPI
1245610914
Phone
(205) 971-1800
Address
PO BOX 744699
Enumeration Date
8 June 2015
Last Update Date
26 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059711800
Graduation Year
2015 (11 years ago)
PAC ID
7012253875
Group Practice PAC ID
6507116464
Professional Enrollment ID
I20200722001774
Address ID
AL352433326BI3670XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

94 RADIATION ONCOLOGY in AL

Provider Addresses for WILLIAM HENRY ENNIS (M.D.)

  • PO BOX 744699

    ATLANTA, GA 303744699

    Phone: (205) 971-1800

    Type: Mailing

  • 3670 GRANDVIEW PKWY # 100

    BIRMINGHAM, AL 352433326

    Phone: (205) 971-1800

    Fax: (205) 971-1264

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $3,036.

Total Amount is formed as General ($3,036) + Research ($0) + Ownership ($0) = $3,036.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($347).

Total Amount

$3,036

General + Research + Ownership

Payments

142

Total payment records

General Amount

$3,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200722001774IRadiation OncologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields43528$0
77300Calculation of radiation therapy dose13747$0
77427Radiation treatment management, 5 treatment sessions12548$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy11723$0
77334Design and construction of complex radiation treatment device10353$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507116464View full group profile
NameSpecialtyState
Physician AssistantAL

Reviews

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Frequently asked questions

How do I look up WILLIAM HENRY ENNIS (M.D.) by NPI?
Use NPI 1245610914 when you need to reference WILLIAM HENRY ENNIS (M.D.) in forms, claims, or directories.
Is WILLIAM HENRY ENNIS (M.D.) active in the national directory?
WILLIAM HENRY ENNIS (M.D.)'s public NPI profile is in an active state.
Does WILLIAM HENRY ENNIS (M.D.) list a primary specialty?
If you are matching referrals, note Radiation Oncology Physician for WILLIAM HENRY ENNIS (M.D.). Clinical services aligned with this taxonomy classification.
Does WILLIAM HENRY ENNIS (M.D.) practice in Georgia?
You will see Atlanta, Georgia on file for WILLIAM HENRY ENNIS (M.D.) alongside any extra practice locations.
Is WILLIAM HENRY ENNIS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1245610914. Always confirm identity and privileges with the practice and licensing boards.

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