Andre Damian Williams, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

022081 Issued in GA

Practice address

4166 Snapringer Woods Dr
Decatur, GA 30035

Phone

(404) 284-3200

Fax

(404) 288-1745

NPI assigned

Oct 5, 2005

Last updated

Dec 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dekalb Gynecology Associates

  • Obstetrics & Gynecology Physician
  • Decatur, GA
  • NPI 1851459622
  NPD (past) Authorized official
• Legacy Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Decatur, GA
  • NPI 1780854257
  NPD (past) Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1356338297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353411",
            "telephone_number": "404-284-3200",
            "fax_number": "404-288-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 SNAPRINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "404-284-3200",
            "fax_number": "404-288-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDRE",
        "middle_name": "DAMIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "022081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000221944T",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J. McIntosh PHD PC
• William R Hardcastle MD PC
• Victoria Ifunanya Williams-Ugula
• Alexis Williams
• Alison Brooke Williams, LCSW
• April Williams
• Ashley Laurice Williams, RN
• Cathy Williams, MD
• Cedric Lavell Williams, BEHAVIOR TECHNICIAN
• Chastity Williams

• Obstetrics & Gynecology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.