Tracy Lee Williams, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3469-08 Issued in MS

Practice address

68 Old Airport Rd
Hattiesburg, MS 39401-8382

Phone

(601) 583-4800

Fax

(015) 847-7696

NPI assigned

Jul 10, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: twilliams117937@directpatientrecord.com

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.

• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD (past)
• Lamar County School Clinic

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1679147847
  NPD (past)
• McLaurin Dental Clinic, P.a.

  • General Practice Dentistry
  • Bay Springs, MS
  • NPI 1598059073
  NPD (past)
• Minor Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1508874769
  NPD (past)
• Semrhi Mobile Healthcare Unit

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1689391815
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1174787915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-583-4800",
            "fax_number": "015-847-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-583-4800",
            "fax_number": "015-847-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3469-08",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3469-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125741",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Williams, CCSS
• Mykia Sade Williams, PHARMD
• Rodrick Dashone Williams, LPC
• Stephen Williams, AU.D.
• Summer Williams, IDD WAIVER SERVICES
• Yvette Andrea Williams, DPP LIFESTYLE COACH
• Tommie J Williamson Shappley
• Adrianna Williamson, CNP
• Anna Williamson, FNP
• Ashley Renee Williamson, FNP-C

• General Practice Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.