Autumn Gene Williams, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5022 Old Godsey LN
Ste 3
Hixson, TN 37343-6600

Phone

(423) 870-3573

Fax

(423) 870-3574

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1013468487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN",
            "address_2": "STE 3",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436600",
            "telephone_number": "423-870-3573",
            "fax_number": "423-870-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUTUMN",
        "middle_name": "GENE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin W Wiley, MD
• Sara Elizabeth Wilkens, AU.D.
• Jonathan E Willard, ED.D.
• William a. Hensley
• William E Matthews MD PC
• Brittany Craft Williams, NP
• Sam J Williams III, M.D.
• Alvin E Willingham, OD
• Sydney Wingfield, DDS
• Pam Wingo, PTA

• Athletic Trainer in Hixson, TN
• Providers in Hixson, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.