Individual provider Active NPI

Robin C Williams, M.D.

  • Pediatrics Physician
  • Batesville, AR
National Provider Identifier
1083680862
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R4485 Issued in AR
Practice address
411 Virginia Dr
Batesville, AR 72501-7329
Phone
(870) 698-9747
Fax
(870) 698-0301
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R4485 AR
Pediatrics Physician 208000000X R4485 AR Primary

Addresses

Primary practice location

411 Virginia Dr
Batesville, AR 72501-7329

Mailing address

411 Virginia Dr
Batesville, AR 72501-7329
Phone (870) 698-9747

Other identifiers 2

IdentifierTypeStateIssuer
133120000OtherARQUALCHOICE
123446001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20120416000515 AR Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9335300532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 Virginia Dr
Batesville, AR 72501-7329
Phone (870) 698-9747

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Batesville, AR, CCN 047080
  • White River Medical Center Hospital, Batesville, AR, CCN 040119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4485ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robin C Williams, MD, PA CurrentSince Jan 9, 2012 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

411 Virginia Dr
Batesville, AR 72501
Phone (870) 698-9747

Organizations & group practices 2

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1083680862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 VIRGINIA DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017329",
            "telephone_number": "870-698-9747",
            "fax_number": "870-698-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 VIRGINIA DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017329",
            "telephone_number": "870-698-9747",
            "fax_number": "870-698-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBIN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "R4485",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "R4485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "133120000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123446001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.