Active NPI
John David Williamson, M.D.
- Family Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29084
- Practice address
- 316 Calhoun St
Charleston, SC 29401-1113 - Phone
- (843) 402-1000
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44600 | TN | |
| Family Medicine Physician | 207Q00000X | 29084 | SC | Primary |
Addresses
Primary practice location
316 Calhoun St
Charleston, SC 29401-1113
Mailing address
1985 Planters Dr
Charleston, SC 29414-6255
Other practice location 1
4095 American Way 1
Suite 1
Memphis, TN 38118-8339
Phone (901) 271-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512962 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1006
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 79.17
- Improvement activities
- 40
- Cost
- 69.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians of SC, LLC | Current | Accepting new patients | |
| Cherokee Health Systems | Family Medicine | Current | Accepting new patients |
| Resurrection Health | Family Medicine | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital Inc. | Past | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Interoperability endpoints
- jwilliams@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- Family Medicine Physician
- North Charleston, SC
- NPI 1205770708
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Family Medicine
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657324800000",
"number": "1043308661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 PLANTERS DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294146255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 CALHOUN ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011113",
"telephone_number": "843-402-1000"
}
],
"practiceLocations": [
{
"address_1": "4095 AMERICAN WAY 1",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381188339",
"country_code": "US",
"telephone_number": "901-271-9500",
"fax_number": "901-271-9501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "44600",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "29084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512962",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.