Individual provider Active NPI

Klay Davis McWilliams, FNP-C

  • Family Nurse Practitioner
  • Sweetwater, TX
National Provider Identifier
1417574161
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144936 Issued in TX
Practice address
200 E Arizona Ave
Sweetwater, TX 79556-7120
Phone
(325) 235-1701
NPI assigned
Jun 29, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144936 TX Primary

Addresses

Primary practice location

200 E Arizona Ave
Sweetwater, TX 79556-7120

Mailing address

200 E Arizona Ave
Sweetwater, TX 79556-7120
Phone (325) 235-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20201111002622 TX Practitioner - Nurse Practitioner 3274943717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians

Practice addresses (Care Compare)

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 219-6237

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144936TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Network Sweetwater LLC CurrentSince Aug 11, 2020 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Nov 15, 2023 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Nov 15, 2023 Accepting new patients
Rolling Plains Memorial Hospital Past Accepting new patients

Locations

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

301 Jenny George Ln
Sweetwater, TX 79556
Phone (325) 235-0770

301 Jenny George Ln
Ste C
Sweetwater, TX 79556

301 Jenny George Ln
Ste G
Sweetwater, TX 79556

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1417574161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567120",
            "telephone_number": "325-235-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567120",
            "telephone_number": "325-235-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "KLAY",
        "middle_name": "DAVIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.