Samuel Keith Williams III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

072749 Issued in GA

Practice address

1568 Georgia Ave
Albany, GA 31705-1158

Phone

(229) 344-7112

Fax

(478) 625-8477

NPI assigned

Jul 1, 2008

Sex

Male

Sole proprietor

No

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

Practice roles

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 Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • Psychiatric Hospital Unit
  • Louisville, GA
  • NPI 1417554437
  NPD (past)
• McKinney Community Health Ctr, Inc

  • Federally Qualified Health Center (FQHC)
  • Blackshear, GA
  • NPI 1568623346
  NPD (past)
• Harwood Global LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1811759624
  NPD (past)
• Harwood Healthcare Corp

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1134999543
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1336301373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 GEORGIA AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317051158",
            "telephone_number": "912-545-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 GEORGIA AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317051158",
            "telephone_number": "229-344-7112",
            "fax_number": "478-625-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAMUEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-04-25",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "072749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly V Williams, MSW
• Lucretia Wright Williams, FNP
• Mary H Williams, CRNA
• Merritt Gibson Williams II, PT
• Ozell Williams, PA
• Shirley Ann Williams
• Stephanie L Williams, M.D.
• Tameika Leshelle Williams, LPC
• Tiajuana Williams
• Timothy Charles Williams, M.D.

• Internal Medicine Physician in Albany, GA
• Providers in Albany, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.