Williams Personalized Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILLIAMS PERSONALIZED CARE LLC

Practice address

2525 South St Ste a
Lafayette, IN 47904-3028

Phone

(765) 807-2320

Fax

(765) 807-2330

NPI assigned

Jan 2, 2025

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Henry Williams, MDNPI 1700859873

Title

Physician/Owner

Phone

(765) 807-2320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark H Williams, MD

  • Family Medicine Physician
  • Lafayette, IN
  • NPI 1700859873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1417766742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SOUTH ST UNIT 3",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043185",
            "telephone_number": "765-366-5776",
            "fax_number": "765-807-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SOUTH ST STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043028",
            "telephone_number": "765-807-2320",
            "fax_number": "765-807-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PERSONALIZED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "765-807-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brian Wildermuth, M.D.
• Patricia J Wilkerson, MSW, LSW
• Sean Wilkes, MD, MSC
• Laura A Willenborg, LCSW
• Williams Chiropractic Corp PC (Care Chiropractic)
• Anaise Williams
• Chelsy Williams
• Douglas Lawrence Williams, DC DOCTOR OF CHIROPR
• Jamiah Williams
• Jeanine Williams, LCAC

• Family Medicine Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.

Verify at the official NPI Registry.