Individual provider Active NPI

Cody Williams, APRN

  • Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1124651468
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
123901 Issued in AR
Practice address
1455 Higdon Ferry Rd Ste B
Hot Springs, AR 71913-6456
Phone
(501) 623-2731
Fax
(501) 623-1660
NPI assigned
Feb 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 123901 AR
Nurse Practitioner 363L00000X 123901 AR Primary

Addresses

Primary practice location

1455 Higdon Ferry Rd Ste B
Hot Springs, AR 71913-6456

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316000454 AR Practitioner - Nurse Practitioner 2264860816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

1455 Higdon Ferry Rd
Suite B
Hot Springs, AR 71913-6456
Phone (501) 623-2731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Mar 2, 2020 Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology Past Accepting new patients

Locations

2910 Cypress Rd
Arkadelphia, AR 71923
Phone (501) 624-7700

133 Harmony Park Cir
Hot Springs National Park, AR 71913
Phone (501) 624-7700

1455 Higdon Ferry Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 623-2731

101 Plaza Carmona Pl
Ste C
Hot Springs Village, AR 71909
Phone (501) 623-2731

136 Health Park Dr
Mena, AR 71953
Phone (479) 437-6023

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1124651468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HIGDON FERRY RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136456",
            "telephone_number": "501-623-2731",
            "fax_number": "501-623-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CODY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "123901",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "123901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.