Individual provider Active NPI

Michael Donald Williams, M. D.

  • Surgery Physician
  • Alpharetta, GA
National Provider Identifier
1073567061
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
51419 Issued in GA
Practice address
5755 N Point Pkwy
Suite 223
Alpharetta, GA 30022-1171
Phone
(770) 500-3660
Fax
(770) 500-3664
NPI assigned
May 22, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 51419 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy
Suite 223
Alpharetta, GA 30022-1171

Mailing address

5755 N Point Pkwy
Suite 223
Alpharetta, GA 30022-1171
Phone (770) 500-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000326 GA Practitioner - General Surgery 9830378538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Creek Surgery PCGroup PAC ID 8426061722, 4 clinicians

Practice addresses (Care Compare)

6920 McGinnis Ferry Rd
Suite 340
Suwanee, GA 30024-6675
Phone (770) 232-2911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51419GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Creek Surgery PC Surgery CurrentSince Oct 1, 2014 Accepting new patients
Atlanta General and Bariatric Surgery Center, LLC Past Accepting new patients

Locations

5755 N Point Pkwy
Ste 223
Alpharetta, GA 30022
Phone (678) 379-6560

6920 McGinnis Ferry Rd
Ste 340
Suwanee, GA 30024
Phone (770) 232-2911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1073567061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "SUITE 223",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221171",
            "telephone_number": "770-500-3660",
            "fax_number": "770-500-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "SUITE 223",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221171",
            "telephone_number": "770-500-3660",
            "fax_number": "770-500-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "DONALD",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "51419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.