Active NPI
Austin Gregory Williams
- Chiropractor
- Tampa, FL
National Provider Identifier
1396201554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12703
- Practice address
- 4211 W Boy Scout Blvd Ste 450
Tampa, FL 33607-5724 - Phone
- (813) 445-6550
- Fax
- (813) 445-6505
- NPI assigned
- Feb 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12703 | FL | Primary |
Addresses
Primary practice location
4211 W Boy Scout Blvd Ste 450
Tampa, FL 33607-5724
Mailing address
11411 Blue Lilac Ave
Riverview, FL 33578-3711
Phone (561) 253-4769
Other practice location 1
4040 Tampa Rd
Oldsmar, FL 34677-3205
Phone (813) 818-7499
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12703 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conforti Chiropractic & Wellness Center Inc | Chiropractor | Current | Accepting new patients |
| Crai Spines | Chiropractor | Current | Accepting new patients |
| Jeff Davis D C PA | Chiropractor | Past | Accepting new patients |
| Back to Wellness Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
4040 Tampa Rd
Oldsmar, FL 34677
Phone (813) 818-7499
8400 113th St
Seminole, FL 33772
Phone (727) 201-4549
Organizations & group practices 4
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.
-
- Chiropractor
- Oldsmar, FL
- NPI 1316010143
-
- Chiropractor
- Seminole, FL
- NPI 1497430524
-
- Chiropractor
- Brandon, FL
- NPI 1689889461
-
- Chiropractor
- Brandon, FL
- NPI 1609091560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1396201554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 BLUE LILAC AVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783711",
"telephone_number": "561-253-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 W BOY SCOUT BLVD STE 450",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075724",
"telephone_number": "813-445-6550",
"fax_number": "813-445-6505"
}
],
"practiceLocations": [
{
"address_1": "4040 Tampa Rd",
"address_purpose": "LOCATION",
"city": "Oldsmar",
"state": "FL",
"postal_code": "346773205",
"country_code": "US",
"telephone_number": "813-818-7499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AUSTIN",
"middle_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-13",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.