Individual provider Active NPI

Rodney Jay Williams, M.D.

  • Psychiatry Physician
  • West Plains, MO
National Provider Identifier
1154522696
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018010300 Issued in MO
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(417) 256-9111
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD427511 PA
Child & Adolescent Psychiatry Physician 2084P0804X MD427511 PA
Child & Adolescent Psychiatry Physician 2084P0804X 2018010300 MO
Psychiatry Physician 2084P0800X 2018010300 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

PO Box 264
Reynoldsburg, OH 43068-0264
Phone (724) 809-0547

Other practice location 1

815 Grandview Rd
Oil City, PA 16301-2077
Phone (814) 676-5614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080701000512 PA Practitioner - Psychiatry 8022180306 Reassigns benefits to 1 organization
I20180720001564 MO Practitioner - Psychiatry 8022180306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians
Regional Counseling Center, Inc.Group PAC ID 8729026869, 7 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

815 Grandview Rd
Oil City, PA 16301-2077
Phone (814) 676-5614

Hospital & facility affiliations

  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Upmc Northwest Hospital, Seneca, PA, CCN 390091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018010300MOMDPsychiatry Physician
MD427511PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Jul 3, 2019 Accepting new patients
Ozarks Medical Center CurrentSince Jul 3, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 18, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 18, 2018 Accepting new patients
Regional Counseling Center, Inc. CurrentSince Mar 6, 2018 Accepting new patients
Mercy Hospital Springfield CurrentSince Jul 17, 2018 Accepting new patients
Mercy Hospital Springfield CurrentSince Jul 17, 2018 Accepting new patients
Regional Counseling Center, Inc. PastSince Mar 6, 2018 Accepting new patients

Locations

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1965 S Fremont Ave
Ste 330
Springfield, MO 65804
Phone (417) 820-8180

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

150 Prospect Ave
Ste 102
Franklin, PA 16323
Phone (814) 432-3320

815 Grandview Rd
Oil City, PA 16301
Phone (814) 676-5614

Organizations & group practices 8

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 4

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1154522696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430680264",
            "telephone_number": "724-809-0547",
            "fax_number": "614-675-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Grandview Rd",
            "address_purpose": "LOCATION",
            "city": "Oil City",
            "state": "PA",
            "postal_code": "163012077",
            "country_code": "US",
            "telephone_number": "814-676-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RODNEY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427511",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD427511",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2018010300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2018010300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.