Active NPI
Sammy Grant Williams
- Hearing Instrument Specialist
- Niceville, FL
National Provider Identifier
1225504947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS4791
- Practice address
- 1001 College Blvd W BLDG 2
Niceville, FL 32578-1099 - Phone
- (850) 830-0376
- Fax
- (850) 678-3211
- NPI assigned
- Oct 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS4791 | FL | Primary |
Addresses
Primary practice location
1001 College Blvd W BLDG 2
Niceville, FL 32578-1099
Mailing address
1001 College Blvd W BLDG 2
Niceville, FL 32578-1099
Phone (850) 678-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS4791 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1225504947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COLLEGE BLVD W BLDG 2",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781099",
"telephone_number": "850-678-3277",
"fax_number": "850-678-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COLLEGE BLVD W BLDG 2",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781099",
"telephone_number": "850-830-0376",
"fax_number": "850-678-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SAMMY",
"middle_name": "GRANT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS4791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.