Individual provider Active NPI

Sherry Michele Williams, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Herrin, IL
National Provider Identifier
1104137140
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036124731 Issued in IL
Practice address
3303 Logan Dr
Herrin, IL 62948-3732
Phone
(618) 998-8920
Fax
(618) 998-8923
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036124731 IL Primary

Addresses

Primary practice location

3303 Logan Dr
Herrin, IL 62948-3732

Mailing address

611 W Park St
Urbana, IL 61801-2529

Other practice location 1

611 W Park St
Urbana, IL 61801-2529
Phone (217) 326-4446

Other identifiers 4

IdentifierTypeStateIssuer
036124731MedicaidIL
640701OtherILMEDICARE WPS FFS
370966854002MedicaidIL
CF3444OtherILMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100806000596 IL Practitioner - Hospice/Palliative CarePractitioner - Obstetrics/GynecologyPractitioner - Internal MedicinePractitioner - Family Practice 5799818068 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Southern Illinois University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

Practice addresses (Care Compare)

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital Hospice and Palliative Medicine Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 30, 2023 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 30, 2023 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jan 1, 2022 Accepting new patients
Carle Health Care Incorporated CurrentSince Sep 30, 2021 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Oct 1, 2015 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

1400 Pin Oak Dr
Carterville, IL 62918
Phone (618) 529-3159

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

3303 Logan Dr
Herrin, IL 62948
Phone (618) 833-4471

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: swilliamsmd336297@carlehiedirect.net

Organizations & group practices 11

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1104137140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 LOGAN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483732",
            "telephone_number": "618-998-8920",
            "fax_number": "618-998-8923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012529",
            "country_code": "US",
            "telephone_number": "217-326-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHERRY",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036124731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036124731",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE WPS FFS",
            "identifier": "640701",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370966854002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CF3444",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.