Active NPI
Matthew Williams, DO
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS20617
- Practice address
- 6000 49TH St N
St Petersburg, FL 33709-2114 - Phone
- (727) 521-5057
- NPI assigned
- Mar 25, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102208572 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | OS20617 | FL | Primary |
Addresses
Primary practice location
6000 49TH St N
St Petersburg, FL 33709-2114
Mailing address
6000 49TH St N
St Petersburg, FL 33709-2114
Other names 1
- Matthew Robert Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283
222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234
310 SE Veranda Falls Way
Port Saint Lucie, FL 34984-2101
Phone (772) 309-8500
3125 Grand Ave
Apt 302
Pinellas Park, FL 33782-6112
Phone (800) 424-3672
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102208572 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Medical Group, PC | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients |
Locations
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214
190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
1000 Wellness Way
Fort Mill, SC 29715
Phone (803) 329-1234
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC, SC
-
- Hospitalist Physician
- Brevard, NC
- NPI 1184669053
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1003618406
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1245817329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 49TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 49TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092114",
"telephone_number": "727-521-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102208572",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS20617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "WILLIAMS",
"middle_name": "ROBERT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.