Reginald A Williams, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

055788 Issued in GA

Practice address

113 Colonial Way
Jesup, GA 31545-0245

Phone

(912) 427-9169

Fax

(912) 427-9171

NPI assigned

Nov 7, 2006

Last updated

Oct 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rewilliams@yourcarecommunity.org

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.

• Southwest Surgical Associates, P.C.

  • Surgery Physician
  • Jesup, GA
  • NPI 1043577364
  Authorized official Same address or phone
• Southwest Surgical Associates, P.C.

  • Surgery Physician
  • Jesup, GA
  • NPI 1902152200
  Authorized official Same address or phone
• Southwest Surgical Associates, PC

  • Surgery Physician
  • Jesup, GA
  • NPI 1720392129
  Authorized official Same address or phone
• Chatuge Regional Hospital Inc

  dba Chatuge Medical Group

  • Internal Medicine Physician
  • Hiawassee, GA
  • NPI 1265811962
  NPD (past)
• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1174692891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980467",
            "telephone_number": "912-427-9169",
            "fax_number": "912-427-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COLONIAL WAY",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-427-9169",
            "fax_number": "912-427-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REGINALD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "37487",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "055788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64061377",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanna Westberry, CCC-SLP
• Shatavia J White
• David C Whitehead, M.D.
• Samantha Anthonette Wilkerson, FNP
• Emily Freeman Williams, FNP-C
• Stephanie Williams
• Winnie Claire Hicks
• John Wesley Wolfe Jr., DMD
• Mattie Wolfson, CF-SLP
• Brandon Wright

• Surgery Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.