Active NPI
Tracey Alexa Leaver-Williams, M.D.
- Obstetrics & Gynecology Physician
- Hilton Head, SC
National Provider Identifier
1275738569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 37737
- Practice address
- 25 Hospital Center Blvd
Suite 305
Hilton Head, SC 29926-2738 - Phone
- (843) 681-4977
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 37737 | SC | Primary |
Addresses
Primary practice location
25 Hospital Center Blvd
Suite 305
Hilton Head, SC 29926-2738
Mailing address
25 Hospital Center Blvd
Suite 305
Hilton Head Island, SC 29926-2738
Phone (843) 681-4977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150226000833 | SC | Practitioner - Obstetrics/Gynecology | 6406948926 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Regional Medical Center Inc | Current | Accepting new patients |
Interoperability endpoints
- tracey.leaverwilliams@mrmc.gadirect.net
- tracey.leverwilliams@gadirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1770575003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1275738569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HOSPITAL CENTER BLVD",
"address_2": "SUITE 305",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262738",
"telephone_number": "843-681-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HOSPITAL CENTER BLVD",
"address_2": "SUITE 305",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299262738",
"telephone_number": "843-681-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVER-WILLIAMS",
"first_name": "TRACEY",
"middle_name": "ALEXA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "37737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.