Individual provider Active NPI

Douglas Williams, ARNP

  • Nurse Practitioner
  • Burkesville, KY
National Provider Identifier
1013944800
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3004378 Issued in KY
Practice address
299A Glasgow Rd
Burkesville, KY 42717-9696
Phone
(270) 864-2555
Fax
(270) 864-3777
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3004378 KY Primary

Addresses

Primary practice location

299A Glasgow Rd
Burkesville, KY 42717-9696

Mailing address

7001 Celina Road
Burkesville, KY 42717
Phone (270) 433-1241

Other identifiers 1

IdentifierTypeStateIssuer
78014073MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000282 KY Practitioner - Nurse Practitioner 3971799107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital Association Inc.Group PAC ID 9830006618, 30 clinicians

Practice addresses (Care Compare)

299 Glasgow Rd
Burkesville, KY 42717-9696
Phone (270) 864-2511

Hospital & facility affiliations

  • Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
  • Cumberland County Hospital Hospital, Burkesville, KY, CCN 181317
  • The Medical Center at Albany Hospital, Albany, KY, CCN 181333

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
85.04
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004378KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital Association Inc CurrentSince Sep 1, 2010 Accepting new patients
Cumberland County Hospital Association Inc Nurse Practitioner CurrentSince Sep 1, 2010 Accepting new patients
Cumberland County Hospital Association Inc Past Accepting new patients

Locations

333 Keen St
Burkesville, KY 42717
Phone (270) 864-3371

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

299A Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1013944800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CELINA ROAD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "42717",
            "telephone_number": "270-433-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299A GLASGOW RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427179696",
            "telephone_number": "270-864-2555",
            "fax_number": "270-864-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOUGLAS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78014073",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkesville, KY

Sources for this page

Verify at the official NPI Registry.