Active NPI
John Grady Williams, M.D.
- Ophthalmology Physician
- Dublin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 057860
- Practice address
- 18 Erin Office Park
Dublin, GA 31021-2866 - Phone
- (478) 272-5933
- Fax
- (478) 272-4350
- NPI assigned
- May 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME93334 | FL | |
| Ophthalmology Physician | 207W00000X | 057860 | GA | Primary |
Addresses
Primary practice location
18 Erin Office Park
Dublin, GA 31021-2866
Mailing address
18 Erin Office Park
Dublin, GA 31021-2866
Phone (478) 272-5933
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416563800B | Medicaid | GA | |
| P00380152 | Other | GA | RAILROAD MEDICARE |
| 416563800A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical College of Georgia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18 Erin Office Park
Dublin, GA 31021-2866
Phone 4782725933136
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Fairview Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 77 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057860 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dublin Eye Associates, P.C. | Ophthalmology | Current | Accepting new patients |
| St Lukes Cataract & Laser Institute | Ophthalmology | Past | Accepting new patients |
| Dublin Eye Surgery Center LLC | Past | Accepting new patients | |
| St Lukes Surgical Center Inc | Ophthalmology | Past | Accepting new patients |
Locations
2400 Bellevue Rd
Ste 18
Dublin, GA 31021
Phone (478) 272-5933
700 Maple Dr
Vidalia, GA 30474
Phone (912) 537-1991
Interoperability endpoints
- jwilliams@dublineye.direct.eyemdemr.com
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.
-
- Ophthalmology Physician
- Dublin, GA
- NPI 1205857539
-
- Ambulatory Surgical Clinic/Center
- Dublin, GA
- NPI 1841368867
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1508890476
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1417907973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ERIN OFFICE PARK",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212866",
"telephone_number": "478-272-5933",
"fax_number": "478-272-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 ERIN OFFICE PARK",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212866",
"telephone_number": "478-272-5933",
"fax_number": "478-272-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOHN",
"middle_name": "GRADY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME93334",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "057860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "416563800B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00380152",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "416563800A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.