Active NPI
Robin C Williams, MD, PA
- Specialist
- Batesville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R4485
- Legal business name
- ROBIN C WILLIAMS, MD, PA
- Practice address
- 411 Virginia Dr
Batesville, AR 72501-7329 - Phone
- (870) 698-9747
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robin C Williams, M.D.
- Title
- Owner
- Phone
- (870) 698-9747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R4485 | AR | Primary |
Addresses
Primary practice location
411 Virginia Dr
Batesville, AR 72501-7329
Mailing address
411 Virginia Dr
Batesville, AR 72501-7329
Phone (870) 698-9747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136360002 | Medicaid | AR | |
| 133120000 | Other | AR | QUALCHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0902382 | Robin C Williams MD PA | Certificate of waiver | Jun 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
411 Virginia Dr
Batesville, AR 72501
Phone (870) 698-9747
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Batesville, AR
- NPI 1083680862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329782400000",
"number": "1407060700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 VIRGINIA DR",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017329",
"telephone_number": "870-698-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 VIRGINIA DR",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017329",
"telephone_number": "870-698-9747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBIN C WILLIAMS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2012-02-21",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-698-9747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AR",
"license": "R4485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136360002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "133120000",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.