Individual provider Active NPI

Eric Williams, MD

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1265493779
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052654 Issued in GA
Practice address
2513 Shallowford Rd
Building 100
Marietta, GA 30066-6809
Phone
(770) 516-3500
Fax
(770) 516-3660
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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 052654 GA Primary

Addresses

Primary practice location

2513 Shallowford Rd
Building 100
Marietta, GA 30066-6809

Mailing address

2513 Shallowford Rd
Building 100
Marietta, GA 30066-6809
Phone (770) 516-3500

Other identifiers 1

IdentifierTypeStateIssuer
246892126GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000105 GA Practitioner - Family PracticePractitioner - Emergency Medicine 4981596574 Reassigns benefits to 8 organizations
I20141014002379 OK Practitioner - Emergency Medicine 4981596574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Emergency Group, LLCGroup PAC ID 5395918387, 25 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5429

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 278-2105

Hospital & facility affiliations

  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Improvement activities
40
Cost
79.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
South Central Emergency Services PC CurrentSince Aug 15, 2014 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Jun 1, 2012 Accepting new patients
Peach State Emergency Physicians LLC CurrentSince May 1, 2024 Accepting new patients
NW Ga Family Practice,LLC Family Medicine Current Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Sep 15, 2014 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC CurrentSince Aug 23, 2024 Accepting new patients
Emergency Physicians of Mid-America, P.C. CurrentSince Nov 1, 2014 Accepting new patients
Montgomery Emergency Group, LLC CurrentSince Oct 31, 2024 Accepting new patients
Murray Emergency Physicians, LLC CurrentSince Apr 1, 2020 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Nov 15, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jan 22, 2007 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince Nov 15, 2024 Accepting new patients
Oklahoma Emergency Services PC CurrentSince Aug 1, 2014 Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients
North Georgia Emergency Physicians, LLC Past Accepting new patients
Endocrine Specialists of Georgia, LLC PastSince Nov 8, 2020 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

2513 Shallowford Rd
Ste 100
Marietta, GA 30066
Phone (770) 516-3500

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1265493779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SHALLOWFORD RD",
            "address_2": "BUILDING 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666809",
            "telephone_number": "770-516-3500",
            "fax_number": "770-516-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 SHALLOWFORD RD",
            "address_2": "BUILDING 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666809",
            "telephone_number": "770-516-3500",
            "fax_number": "770-516-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246892126G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.