Individual provider Active NPI

Tracey Alexa Leaver-Williams, M.D.

  • Obstetrics & Gynecology Physician
  • Hilton Head, SC
National Provider Identifier
1275738569
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37737 Issued in SC
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

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000833 SC Practitioner - Obstetrics/Gynecology 6406948926

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Regional Medical Center Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tracey.leaverwilliams@mrmc.gadirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.