Active NPI
Andray McWilliams
- Driver
- Atlanta, GA
National Provider Identifier
1346668969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 592289560
- Practice address
- 4060 Peachtree Rd NE Ste D145
Atlanta, GA 30319-3020 - Phone
- (561) 449-3716
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 592389561 | FL | |
| Driver | 172A00000X | 592289560 | FL | Primary |
Addresses
Primary practice location
4060 Peachtree Rd NE Ste D145
Atlanta, GA 30319-3020
Mailing address
4060 Peachtree Rd NE Ste D145
Atlanta, GA 30319-3020
Phone (561) 449-3716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592389569A | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592389561 | FL | MD | Case Manager/Care Coordinator |
| 592289560 | FL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1346668969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 PEACHTREE RD NE STE D145",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303193020",
"telephone_number": "561-449-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 PEACHTREE RD NE STE D145",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303193020",
"telephone_number": "561-449-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "ANDRAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "592389561",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "592289560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "592389569A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.