Individual provider Active NPI

Joseph Russell Williams, MD

  • Internal Medicine Physician
  • West Columbia, SC
National Provider Identifier
1225038656
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17961 Issued in SC
Practice address
120 East Medical Lane
West Columbia, SC 29169
Phone
(803) 936-7210
Fax
(803) 936-8854
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17961 SC Primary

Addresses

Primary practice location

120 East Medical Lane
West Columbia, SC 29169

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 1

IdentifierTypeStateIssuer
GP3239MedicaidSC

Other names 1

  • Dr. Russell Williams Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilliams9023@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20080327000476 SC Practitioner - Internal Medicine 6608974332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

989 Ribaut Rd
Suite 260
Beaufort, SC 29902-5499
Phone (843) 522-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17961SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Beaufort County Memorial Hospital Internal Medicine Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Oct 2, 2023 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Oct 2, 2023 Accepting new patients
Lexington County Health Services District, Inc. CurrentSince Mar 20, 2020 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Coastal Internal Medicine, P.a. Internal Medicine PastSince Oct 1, 2007 Accepting new patients

Locations

989 Ribaut Rd
Ste 260
Beaufort, SC 29902
Phone (843) 522-7600

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

3240 Sunset Blvd
West Columbia, SC 29169
Phone (803) 359-8855

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

120 E Medical Ln
West Columbia, SC 29169
Phone (803) 936-7210

Interoperability endpoints

  • Direct secure messaging: joseph.williams.1@16436.direct.athenahealth.com
  • Direct secure messaging: joseph.r.williams@upmcdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCCCD

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1225038656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST MEDICAL LANE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-936-7210",
            "fax_number": "803-936-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOSEPH",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3239",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilliams9023@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "120 East Medical Lane",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RUSSELL",
            "last_name": "WILLIAMS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.