NPIMap

Individual provider Active NPI

David M Williams III, MD

  • Diagnostic Radiology Physician
  • Myrtle Beach, SC
National Provider Identifier
1205893187
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35087964 Issued in OH
Practice address
1303 Azalea CT Ste B
Myrtle Beach, SC 29577-5765
Phone
(843) 692-0570
Fax
(843) 692-7641
NPI assigned
Apr 26, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 200101409 NC
Diagnostic Radiology Physician 2085R0202X 35087964 OH Primary

Addresses

Primary practice location

1303 Azalea CT Ste B
Myrtle Beach, SC 29577-5765

Mailing address

PO Box 1885
Myrtle Beach, SC 29578-1885
Phone (843) 692-0570

Other identifiers 1

IdentifierTypeStateIssuer
2664157MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100610000983 NC Practitioner - Diagnostic Radiology 8325051659 Reassigns benefits to 2 organizations
I20240809003976 SC Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8325051659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

5043 Middleton View Dr
Myrtle Beach, SC 29579-8516
Phone (800) 841-4236

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Dec 1, 2016 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Dec 1, 2016 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

1357 Kapiolani Blvd
Honolulu, HI 96814
Phone (614) 221-7773

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

1585 Kapiolani Blvd
Ste 1720
Honolulu, HI 96814

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

150 Fairview Rd
Ste 200
Mooresville, NC 28117
Phone (704) 235-6200

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

700 Sullivan Rd
Statesville, NC 28677
Phone (704) 924-9111

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1205893187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1885",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295781885",
            "telephone_number": "843-692-0570",
            "fax_number": "843-692-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AZALEA CT STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775765",
            "telephone_number": "843-692-0570",
            "fax_number": "843-692-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NC",
            "license": "200101409",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35087964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2664157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.