Mitzi Joi Williams, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

60632 Issued in GA

Practice address

767 Concord Rd SE Ste B
Smyrna, GA 30082-2625

Phone

(404) 383-0845

Fax

(404) 383-0906

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Neurology

Education

Morehouse School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Joi Life Wellness Group LLCGroup PAC ID 7517376551, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGCDCD
• FHIR API: https://fhir4.healow.com/fhir/r4/GGCDCD/Endpoint/GGCDCD
• Direct secure messaging: mitziwilliams@tmsca.allscriptsdirect.net

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.

• Joi Life Wellness Group, LLC

  • Medical Specialty Clinic/Center
  • Smyrna, GA
  • NPI 1871187815
  Medicare reassignment Care Compare group NPD Authorized official
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1356461248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERANS MEMORIAL HWY SE STE 134-341",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262945",
            "telephone_number": "404-383-0845",
            "fax_number": "678-939-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 CONCORD RD SE STE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822625",
            "telephone_number": "404-383-0845",
            "fax_number": "404-383-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MITZI",
        "middle_name": "JOI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "000492",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "60632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429169668B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Williams
• Cecelia L. Williams, PSY.D., MSW
• Karen Hope Williams
• Lanescia Williams, RBT
• Lawaina Patrice Williams, LMFT
• Ryan Williams
• Shandrena Williams, LMT
• Terryn Williams
• Vernita Louise Williams
• Barbara M Williford, DMD

• Neurology Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.