Gregory Williams

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

12236 Tavares Ridge LN
Tavares, FL 32778-4460

Phone

(352) 630-0297

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Advocate Support Service Inc

  • In Home Supportive Care Agency
  • Tavares, FL
  • NPI 1518598986
  NPD Authorized official
• Affinity Transportation Service LLC

  • Non-emergency Medical Transport (VAN)
  • Tavares, FL
  • NPI 1154922946
  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1164053534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12236 TAVARES RIDGE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784460",
            "telephone_number": "352-630-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12236 TAVARES RIDGE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784460",
            "telephone_number": "352-630-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Wesley, M.S., LMHC
• Burnette W. White, RPH
• Shalese White
• William Middleton, MD, Facs
• Eric Williams, MD
• Lois Jean Williams, LPN
• Emily Willis
• James L. Willis, D.O.
• Donna L Wittwer
• Bruce Chester Wlosinski, LCSW

• In Home Supportive Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.