Individual provider Active NPI

Marion Ophelia Williams, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1205086253
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J9442 Issued in TX
Practice address
10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144
Phone
(210) 245-7862
Fax
(210) 245-7951
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J9442 TX Primary

Addresses

Primary practice location

10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144

Mailing address

10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144
Phone (210) 245-7892

Other identifiers 2

IdentifierTypeStateIssuer
134730408MedicaidTX
P089204J2MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100524000280 TX Practitioner - PsychiatryPractitioner - Internal Medicine 2062541451 Reassigns benefits to 1 organization
Practice locations: Lubbock, TX; Muleshoe, TX; Seminole, TX
I20170125002320 OR Practitioner - Psychiatry 2062541451

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
University of Arkansas College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Insight Mental Wellness PAGroup PAC ID 5496094039, 18 clinicians

Practice addresses (Care Compare)

10807 Perrin Beitel Rd
Suite 300
San Antonio, TX 78217-3144
Phone (210) 245-7862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J9442TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Mental Wellness PA Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
Wolfforth I Enterprises, L.L.C. PastSince Mar 20, 2025 Accepting new patients
Texas Tech University Health Sciences Center Odessa Internal Medicine Past Accepting new patients
Medvon Medical Clinic Professional Corporation Internal Medicine PastSince Aug 1, 2024 Accepting new patients

Locations

10807 Perrin Beitel Rd
Ste 300
San Antonio, TX 78217
Phone (210) 245-7862

12915 Jones Maltsberger Rd
Ste 102
San Antonio, TX 78247
Phone (210) 245-7862

Organizations & group practices 4

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": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1205086253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 PERN BETL RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173144",
            "telephone_number": "210-245-7892",
            "fax_number": "210-245-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 PERN BETL RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173144",
            "telephone_number": "210-245-7862",
            "fax_number": "210-245-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARION",
        "middle_name": "OPHELIA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J9442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134730408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P089204J2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.