Active NPI
Kenneth Reese Williams Jr., MD
- Internal Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044381
- Practice address
- 350 Hospital Dr
Macon, GA 31217-3838 - Phone
- (478) 765-7000
- NPI assigned
- Mar 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044381 | GA | Primary |
| Hospitalist Physician | 208M00000X | 044381 | GA |
Addresses
Primary practice location
350 Hospital Dr
Macon, GA 31217-3838
Mailing address
3501 Peake Rd
Suite 700
Macon, GA 31210
Phone (478) 476-9285
Other names 1
- Ken Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2122 Cumming Rd
Augusta, GA 30904-4334
Phone (737) 226-6700
804 Towne Park Dr
Suite 200
Rincon, GA 31326-5154
Phone (912) 800-9288
Hospital & facility affiliations
- Aveanna Home Health
- Suncare Hospice, LLC
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044381 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Department of Behavioral Health & Developmental Disabilities | Current | Accepting new patients | |
| Healthqwest Frontiers LLC | Current | Accepting new patients | |
| Curana Health Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Suncare Hospice LLC | Current | Accepting new patients | |
| Fusion Direct Medical and Wellness | Current | Accepting new patients | |
| Department of Behavioral Health & Developmental Disabilities, Ga | Current | Accepting new patients | |
| Suncare Hospice LLC | Past | Accepting new patients |
Locations
2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258
3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030
2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581
2274 Salem Rd SE
Ste 106
Conyers, GA 30013
Phone (404) 631-7716
620 Broad St
Milledgeville, GA 31062
Phone (478) 445-4128
804 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 800-9288
1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
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.
-
- Community Based Hospice Care Agency
- Rincon, GA
- NPI 1700427861
-
- Psychiatric Hospital
- Milledgeville, GA
- NPI 1902030307
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1306545181
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1043605314
-
- Psychiatric Hospital
- Savannah, GA
- NPI 1942432737
-
- Neurology Physician
- Thomasville, GA
- NPI 1174942684
-
- Health Service Clinic/Center
- Stockbridge, GA
- NPI 1427729318
-
- Methadone Clinic
- Macon, GA
- NPI 1043631476
-
- Inpatient Hospice
- Rincon, GA
- NPI 1477483147
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pooler, GA
- NPI 1922715127
-
- Community Based Hospice Care Agency
- Rincon, GA
- NPI 1700427861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1245471879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 PEAKE RD",
"address_2": "SUITE 700",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-476-9285",
"fax_number": "478-474-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "478-765-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KENNETH",
"middle_name": "REESE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "044381",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "044381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEN",
"last_name": "WILLIAMS",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.