Christian Edward Williams, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

72168 Issued in GA

Practice address

760 Kennesaw Ave NW
Marietta, GA 30060-6909

Phone

(770) 427-0183

Fax

(770) 427-0788

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwilliams135387@directwellstar.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DEJAAA

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.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  • Pediatrics Physician
  • Hiram, GA
  • NPI 1558667691
  NPD
• Agc Pediatrics, LLC

  • Specialist
  • Calhoun, GA
  • NPI 1356475214
  NPD (past)
• Agc Pediatrics, LLC

  • Pediatric Nurse Practitioner
  • Cartersville, GA
  • NPI 1851708242
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1245492230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 BASS WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445009",
            "telephone_number": "404-512-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606909",
            "telephone_number": "770-427-0183",
            "fax_number": "770-427-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Professional Ct SE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307017020",
            "country_code": "US",
            "telephone_number": "706-625-5900",
            "fax_number": "706-625-5906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "72168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwilliams135387@directwellstar.org",
            "affiliation": "N",
            "address_1": "760 Kennesaw Ave NW",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300606909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Williams, MD
• Beverly H Williams, LPC
• Brittany Kayla Williams, IBCLC
• Chanel Williams, FNP-C
• Cheryl Anderson Williams, PH.D.
• Christina Alexis Williams, FNP
• Darshan Williams
• Emily Holland Williams, DMD
• Eric Williams, MD
• Erin A Williams, NP-C

• Pediatrics Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.