Individual provider Active NPI

Gary M. Williams, M.D.

  • Cardiovascular Disease Physician
  • Hawkinsville, GA
National Provider Identifier
1427118181
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042771 Issued in GA
Practice address
222 Perry Hwy
Pulaski Prof BLDG B
Hawkinsville, GA 31036-6748
Phone
(478) 783-3025
Fax
(478) 783-3028
NPI assigned
Dec 11, 2006
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042771 GA Primary

Addresses

Primary practice location

222 Perry Hwy
Pulaski Prof BLDG B
Hawkinsville, GA 31036-6748

Mailing address

PO Box 600
Hawkinsville, GA 31036-0600
Phone (478) 783-3025

Other identifiers 1

IdentifierTypeStateIssuer
000728373BMedicaidGA

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
I20110414000460 GA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8426232521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Perry Hwy
Hawkinsville, GA 31036-6748
Phone (478) 783-3025

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042771GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary M Williams M.D., P.C. CurrentSince Oct 1, 1997 Accepting new patients

Locations

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1427118181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310360600",
            "telephone_number": "478-783-3025",
            "fax_number": "478-783-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PERRY HWY",
            "address_2": "PULASKI PROF BLDG B",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-3025",
            "fax_number": "478-783-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GARY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "042771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000728373B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkinsville, GA

Sources for this page

Verify at the official NPI Registry.