Active NPI
Michael Christopher Williamson, LMFT
- Marriage & Family Therapist
- Gray, GA
National Provider Identifier
1356947923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT000666
- Practice address
- 183 W Clinton St
Gray, GA 31032-5301 - Phone
- (478) 227-4189
- NPI assigned
- Dec 9, 2020
- Last updated
- Jun 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT000666 | GA | Primary |
Addresses
Primary practice location
183 W Clinton St
Gray, GA 31032-5301
Mailing address
109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925
Other practice location 1
109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925
Phone (478) 449-1475
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 |
|---|---|---|---|
| AMFT000666 | GA | MD | Marriage & Family Therapist |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Gray, GA
- NPI 1497324982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1356947923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 OSIGIAN BLVD STE 400",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 W CLINTON ST",
"city": "GRAY",
"state": "GA",
"postal_code": "310325301",
"telephone_number": "478-227-4189"
}
],
"practiceLocations": [
{
"address_1": "109 Osigian Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310888925",
"country_code": "US",
"telephone_number": "478-449-1475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "AMFT000666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.