Individual provider Active NPI

Gabriel James Williams, MD

  • Pediatrics Physician
  • Lake Mary, FL
National Provider Identifier
1194384966
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME157567 Issued in FL
Practice address
410 Waymont CT
Lake Mary, FL 32746-3485
Phone
(407) 323-3550
Fax
(407) 330-5962
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME157567 FL Primary

Addresses

Primary practice location

410 Waymont CT
Lake Mary, FL 32746-3485

Mailing address

410 Waymont CT
Lake Mary, FL 32746-3485
Phone (407) 323-3550

Other practice location 1

13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone (407) 567-3224

Other practice location 2

2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787-5597
Phone (407) 656-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725000158 FL Practitioner - Pediatric Medicine 6305227281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Aug 15, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 15, 2022 Accepting new patients

Locations

410 Waymont Ct
Lake Mary, FL 32746
Phone (407) 323-3550

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2200 Fowler Grove Blvd
Ste 220
Winter Garden, FL 34787
Phone (407) 646-0042

133 Benmore Dr
Ste 200
Winter Park, FL 32792
Phone (407) 599-6060

Interoperability endpoints

  • Direct secure messaging: gwilliams803607@adventhealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1194384966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463485",
            "telephone_number": "407-323-3550",
            "fax_number": "407-330-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463485",
            "telephone_number": "407-323-3550",
            "fax_number": "407-330-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277402",
            "country_code": "US",
            "telephone_number": "407-567-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Fowler Grove Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875597",
            "country_code": "US",
            "telephone_number": "407-656-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GABRIEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME157567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.