Individual provider Active NPI

Kenneth Reese Williams Jr., MD

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1245471879
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044381 Issued in GA
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

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000156 GA Practitioner - Internal Medicine 2769507797 Reassigns benefits to 5 organizations
Practice locations: Savannah, GA

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
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians
Suncare Hospice LLCGroup PAC ID 6709214968, 2 clinicians

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 Home health agency, Pooler, GA, CCN 117804
  • Suncare Hospice, LLC Hospice, Rincon, GA, CCN 851527

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044381GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Dec 25, 2009 Accepting new patients
Department of Behavioral Health & Developmental Disabilities Current Accepting new patients
Healthqwest Frontiers LLC CurrentSince Mar 15, 2021 Accepting new patients
Curana Health Medical Group LLC Internal Medicine CurrentSince Nov 7, 2022 Accepting new patients
Suncare Hospice LLC CurrentSince Dec 3, 2023 Accepting new patients
Fusion Direct Medical and Wellness Current Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Dec 25, 2009 Accepting new patients
Suncare Hospice LLC PastSince Dec 3, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.