NPIMap

Organization Active NPI

Camille Davis-Williams, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1164584512
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25137 Issued in GA
Legal business name
CAMILLE DAVIS-WILLIAMS, M.D., P.C.
Practice address
550 Peachtree St NE
Suite 1470
Atlanta, GA 30308-2247
Phone
(404) 589-2670
Fax
(404) 589-2671
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Camille Davis-Williams, M.D.
Title
President
Phone
(404) 589-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25137 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1470
Atlanta, GA 30308-2247

Mailing address

550 Peachtree St NE
Suite 1470
Atlanta, GA 30308-2247
Phone (404) 589-2670

Other identifiers 3

IdentifierTypeStateIssuer
307761352AMedicaidGA
000430031DMedicaidGA
000308998BMedicaidGA

Other names 1

  • Greater Atlanta Women's Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000044 GA Part B Supplier - Clinic/Group Practice 3577458645 Receives reassigned benefits from 4 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
Camille Davis-William MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 Peachtree St NE
Ste 1470
Atlanta, GA 30308
Phone (404) 589-2670

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1164584512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-589-2670",
            "fax_number": "404-589-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-589-2670",
            "fax_number": "404-589-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE DAVIS-WILLIAMS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS-WILLIAMS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-589-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "25137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307761352A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000430031D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000308998B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Atlanta Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.