Charmaine Williams, PHLEBOTOMY TECH

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

K5M6F7F5 Issued in GA

Practice address

1860 Pennsylvania Ave
McDonough, GA 30253-9117

Phone

(470) 738-3488

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1417723248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MOLLY WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538372",
            "telephone_number": "678-914-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 PENNSYLVANIA AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539117",
            "telephone_number": "470-738-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARMAINE",
        "name_prefix": "Mrs.",
        "credential": "PHLEBOTOMY TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "K5M6F7F5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaddai Wiggs, M.ED., CCC-SLP
• Kandi Wiley, COTA/L
• Taylar Marie Wilkinson, PTA
• Rozalind Williams-Heath, LCSW
• Carlye Williams
• Chrystal Jones Williams
• Dashon Liosha Williams
• Janssen Jacob Williams, MD
• Lori Williams
• Natasha Renee Williams, MSN, FNP

• Phlebotomy Technician in McDonough, GA
• Providers in McDonough, GA by specialty
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.