NPIMap

Individual provider Active NPI

George Weldon Williams, DO

  • Family Medicine Physician
  • Deming, NM
National Provider Identifier
1235193228
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A92590 Issued in NM
Practice address
1110 W Florida St
Deming, NM 88030-4908
Phone
(505) 546-4811
Fax
(505) 546-4821
NPI assigned
Apr 14, 2006
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A92590 NM Primary

Addresses

Primary practice location

1110 W Florida St
Deming, NM 88030-4908

Mailing address

122 S Gold Ave
Ste 3
Deming, NM 88030-3755
Phone (575) 545-7280

Other identifiers 1

IdentifierTypeStateIssuer
B8606MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000586 NM Practitioner - Family PracticePractitioner - Geriatric Medicine 8729023734 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mimbres Internal Medicine PAGroup PAC ID 7719971522, 3 clinicians

Practice addresses (Care Compare)

122 S Gold Ave
Suite 3
Deming, NM 88030-3755
Phone (575) 936-4353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions32
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92590NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mimbres Internal Medicine PA CurrentSince Dec 8, 2012 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jun 22, 2014 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Dec 1, 2015 Accepting new patients
Ess Hospitalist LLC CurrentSince Nov 13, 2016 Accepting new patients
Emergency Physicians at Sierra Vista Past Accepting new patients
Donald J Stinar MD PastSince Dec 8, 2012 Accepting new patients
Deming Hospital Corporation Past Accepting new patients

Locations

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

122 S Gold Ave
Ste 3
Deming, NM 88030
Phone (505) 544-7280

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHCCA/Endpoint/DAHCCA

Organizations & group practices 7

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 5

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1235193228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S GOLD AVE",
            "address_2": "STE 3",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303755",
            "telephone_number": "575-545-7280",
            "fax_number": "575-544-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W FLORIDA ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304908",
            "telephone_number": "505-546-4811",
            "fax_number": "505-546-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GEORGE",
        "middle_name": "WELDON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A92590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B8606",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.