Individual provider Active NPI

John Grady Williams, M.D.

  • Ophthalmology Physician
  • Dublin, GA
National Provider Identifier
1417907973
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
057860 Issued in GA
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

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
416563800BMedicaidGA
P00380152OtherGARAILROAD MEDICARE
416563800AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000278 GA Practitioner - Ophthalmology 1254363732 Reassigns benefits to 1 organization

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
Dublin Eye Associates, P.C.Group PAC ID 9032112024, 6 clinicians

Practice addresses (Care Compare)

18 Erin Office Park
Dublin, GA 31021-2866
Phone 4782725933136

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
057860GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Eye Associates, P.C. Ophthalmology CurrentSince Aug 1, 2006 Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology Past Accepting new patients
Dublin Eye Surgery Center LLC PastSince Jan 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.