Individual provider Active NPI

Ryan Michael Williams, D.O

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1306072293
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1415 Issued in SC
Practice address
315 N Beltline Dr Ste E
Florence, SC 29501-7420
Phone
(843) 407-8192
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1415 SC Primary

Addresses

Primary practice location

315 N Beltline Dr Ste E
Florence, SC 29501-7420

Mailing address

315 N Beltline Dr Ste E
Florence, SC 29501-7420
Phone (843) 407-8192

Other practice location 1

3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870

Other practice location 2

3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870

Other identifiers 6

IdentifierTypeStateIssuer
014157MedicaidSC
30125862OtherSCSELECT HEALTH
AA73908552OtherSCMEDICARE PTAN
P01086862OtherSCRAILROAD MEDICARE
255183OtherSCMEDCOST
3748220OtherSCCIGNA

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
I20110915000854 SC Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 8729259189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 N Beltline Dr
Suite E
Florence, SC 29501-7420
Phone (843) 407-8192

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1415SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Family Medicine LLC Family Medicine CurrentSince Oct 18, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

315 N Beltline Dr
Ste E
Florence, SC 29501
Phone (843) 407-8192

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGCBD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306072293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N BELTLINE DR STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017420",
            "telephone_number": "843-407-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N BELTLINE DR STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017420",
            "telephone_number": "843-407-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295015935",
            "country_code": "US",
            "telephone_number": "843-777-6870",
            "fax_number": "843-777-6871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295015935",
            "country_code": "US",
            "telephone_number": "843-777-6870",
            "fax_number": "843-777-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014157",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "30125862",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA73908552",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01086862",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "255183",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3748220",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.