Marvin Earl Williams Jr., DPM

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

License

284 Issued in AL

Practice address

4109 Cogswell Ave
Pell City, AL 35125-2607

Phone

(205) 814-1234

NPI assigned

Aug 31, 2006

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anniston Medical Clinic, PCGroup PAC ID 0244125854, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marvinwilliams@annmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anniston Medical Clinic PC

  • Internal Medicine Physician
  • Anniston, AL
  • NPI 1619080017
  Medicare reassignment Care Compare group
• Metro Podiatry & Sports Medicine

  • Foot Surgery Podiatrist
  • Bessemer, AL
  • NPI 1235314519
  NPD (past) Authorized official
• 360Care Services of Al LLC

  • Audiologist
  • Montgomery, AL
  • NPI 1710493176
  NPD (past)
• Ag Podiatric Specialist and Associates

  • Foot Surgery Podiatrist
  • Birmingham, AL
  • NPI 1013028828
  NPD (past)
• Balm International Health Care Centers, LLC

  • Podiatrist
  • Linden, AL
  • NPI 1417188525
  NPD (past)
• Podiatry Consultants of Texas, Inc

  • Podiatrist
  • Katy, TX
  • NPI 1831147990
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1174634000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 450",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055202",
            "telephone_number": "678-426-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351252607",
            "telephone_number": "205-814-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARVIN",
        "middle_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "284",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "AL",
            "license": "284",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Weller, AGACNP-BC
• Alexandria Whalen, DPT
• Haley Calhoun White, CRNP
• Joe F Willard, OTRL
• Linsey Steadman Williams, M.D.
• Christy J Willis, ALC,NCC
• Kristen Cochran Willis
• Samuel Conner Willis, DNP
• Cassie Lynn Wilson, MS, CCC-SLP
• Chandra C Wilson, PT

• Podiatrist in Pell City, AL
• Providers in Pell City, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.