Individual provider Active NPI

Marsha L Johnson Williams, M.D., MSCR

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1104112606
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD81710 Issued in SC
Practice address
109 Bee St
Charleston, SC 29401-5703
Phone
(843) 577-5011
Fax
(843) 937-6100
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 0101255624 SC
Internal Medicine Physician 207R00000X MD81710 SC Primary

Addresses

Primary practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

109 Bee St
Charleston, SC 29401-5703
Phone (803) 577-5011

Other names 1

  • Marsha L Johnson Williams Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108003121 SC Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 5294965570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (843) 847-4559

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255624SCMDInternal Medicine Physician
MD81710SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of South Carolina PC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Family Health Centers, Inc Current Accepting new patients
SC House Calls Inc CurrentSince Feb 11, 2019 Accepting new patients
SC House Calls Inc Family Medicine CurrentSince Feb 11, 2019 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

922 Holly St
Holly Hill, SC 29059
Phone (803) 496-7174

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

1800 Eagle Landing Blvd
North Charleston, SC 29410
Phone (843) 553-0656

3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEFCD

Organizations & group practices 6

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 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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1104112606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "803-577-5011",
            "fax_number": "843-937-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-577-5011",
            "fax_number": "843-937-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON WILLIAMS",
        "first_name": "MARSHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D., MSCR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0101255624",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD81710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "JOHNSON WILLIAMS",
            "middle_name": "L",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.