Michael N. Williams, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA441 Issued in KY

Practice address

263 Ky Route 122
Martin, KY 41649

Phone

(606) 218-3500

Fax

(606) 218-4562

NPI assigned

Jan 11, 2006

Last updated

Sep 22, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mwilliams21812@pikevillekydirect.org

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.

• After Hours Family Care LLC

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  • NPI 1205092640

  Physician Assistant

  NPD (past)
• Eastern Ky Heatlhcare Center

  • Family Medicine Physician
  • Minnie, KY
  • NPI 1043346562
  NPD (past)
• Our Lady of the Way Hospital, Inc

  • Family Medicine Physician
  • Martin, KY
  • NPI 1255357364
  NPD (past)
• Pikeville Medical Center Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Whitesburg, KY
  • NPI 1871575498
  NPD (past)
• Saint Joseph Health System, Inc.

  • Hematology & Oncology Physician
  • Lexington, KY
  • NPI 1659624435

  Physician Assistant

  NPD (past)
• Saint Joseph Health System, Inc.

  • Hematology & Oncology Physician
  • London, KY
  • NPI 1740550615
  NPD (past)
• Team Radiology Physicians, PA

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1932133675
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1386623015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-285-9006",
            "fax_number": "606-218-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 KY ROUTE 122",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "41649",
            "telephone_number": "606-218-3500",
            "fax_number": "606-218-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "N.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002986",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilliams21812@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "263 Ky Route 122",
            "city": "Martin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "41649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• TPC Martin Inc (Total Pharmacy Care #4)
• Chandra Varia, M.D.
• Prem Shankar Verma, M.D
• Walgreen Co (Rite Aid #17404)
• Garret A. Weaver, D.C.
• Emily Davada Willis

• Physician Assistant in Martin, KY
• Providers in Martin, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.