Trevin Ahmaderic Williams

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

231 W Hancock St
Milledgeville, GA 31061-3371

Phone

(478) 445-4072

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1275263048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 REGISTRY BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286393",
            "telephone_number": "678-763-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W HANCOCK ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613371",
            "telephone_number": "478-445-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TREVIN",
        "middle_name": "AHMADERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "990542163",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Denise Williams, APRN
• Angela N Williams, RN
• Brianna Williams
• India Williams, FNP-C, PMHNP
• Sherrie Sheveeta Williams
• Charles Davis Williamson, MD
• Heather Williamson, NP-C
• Willis Reid Roberts, Jr. (W. Reid Roberts, Jr., M.D.)
• William A Willoughby, M.D.
• James A Wilson, MD

• Athletic Trainer in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.