NPIMap

Individual provider Active NPI

Vincent Dean Williams, D.C.

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1285891499
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIROO7472 Issued in GA
Practice address
1000 Wyngate Pkwy Ste 200
Woodstock, GA 30189-6983
Phone
(770) 592-1877
Fax
(770) 592-1876
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIROO7472 GA Primary

Addresses

Primary practice location

1000 Wyngate Pkwy Ste 200
Woodstock, GA 30189-6983

Mailing address

1000 Wyngate Pkwy Ste 200
Woodstock, GA 30189-6983
Phone (770) 592-1877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIROO7472GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Towne Lake Family Chiropractic Chiropractor Past Accepting new patients
Total Healthcare II, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1285891499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896983",
            "telephone_number": "770-592-1877",
            "fax_number": "770-592-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WYNGATE PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896983",
            "telephone_number": "770-592-1877",
            "fax_number": "770-592-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VINCENT",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIROO7472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.