Carol Renee Williams, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

060631 Issued in GA

Practice address

200 Doctors Dr Ste P
Douglas, GA 31533-2202

Phone

(912) 384-9460

Fax

(912) 393-1239

NPI assigned

Apr 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.williams.1@9964.direct.athenahealth.com

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.

• CRH Physician Practices, LLC

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  Medicare reassignment NPD
• Coffee Regional Medical Center, Inc

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  NPD (past)
• CRH Physician Practices LLC

  • Surgery Physician
  • Waycross, GA
  • NPI 1154794857
  NPD (past)

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1326211152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14804",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154043",
            "telephone_number": "912-384-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE P",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332202",
            "telephone_number": "912-384-9460",
            "fax_number": "912-393-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3695 Cascade Rd SW",
            "address_2": "Suite S",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303312146",
            "country_code": "US",
            "telephone_number": "404-691-6100",
            "fax_number": "404-691-6959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Dannon Vw SW Ste 2102",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303312156",
            "country_code": "US",
            "telephone_number": "404-691-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROL",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-13",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "060631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Dee Whitfield, MSRDLD
• Amy Michelle Whitley
• Rachel V Whitley, CSFA, CST
• James Steve Wilkerson, DMD
• Joel A. Wilkes
• Jessica Williams, MFT, ST
• Jodi Maloy Williams, M.ED CCC/SLP
• Laura Williams, NP
• Lisa Williams, M ED CCC/SLP
• Maria Shantae Williams

• Pediatrics Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.

Verify at the official NPI Registry.