Individual provider Active NPI

Teresa Ann Williams, MD

  • Occupational Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1417977190
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
21018 Issued in SC
Practice address
1748 Saint Matthews Rd
Orangeburg, SC 29118-2441
Phone
(803) 536-0613
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 21018 SC
General Practice Physician 208D00000X 21018 SC
Occupational Medicine Physician 2083X0100X 21018 SC Primary

Addresses

Primary practice location

1748 Saint Matthews Rd
Orangeburg, SC 29118-2441

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040823000915 SC Practitioner - General PracticePractitioner - Family Practice 0547234825 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

1748 Saint Matthews Rd
Orangeburg, SC 29118-2441
Phone (803) 536-0613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21018SCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Mar 30, 2016 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 19, 2021 Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 19, 2021 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Apr 19, 2021 Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 19, 2021 Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 19, 2021 Accepting new patients
Allendale County Hospital Board Past Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

1014 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 556-5585

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

1748 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-0613

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

13649 Church St
Williston, SC 29853
Phone (803) 266-0060

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1417977190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182441",
            "telephone_number": "803-536-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "21018",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "21018",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "21018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.