Craig Berry Albert Williams, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN010976 Issued in GA

Practice address

2855 Candler Rd
Suite 12
Decatur, GA 30034-1415

Phone

(404) 243-3210

Fax

(404) 243-1690

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427267087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD",
            "address_2": "SUITE 12",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "404-243-3210",
            "fax_number": "404-243-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD",
            "address_2": "SUITE 12",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "404-243-3210",
            "fax_number": "404-243-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CRAIG",
        "middle_name": "BERRY ALBERT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN010976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chastity Williams
• Cherilyn T. Williams, PHARMD
• Christine Yvette Williams, MD, MPH
• Christopher J Williams, MD
• Cosco Eric Williams, LMSW, CACII, CCS
• Daron Williams, MSN, NP - C
• Deborah Ann Williams, RN
• Haley Williams, LPMT, MT-BC, NICU MT
• Jessica Williams, D.C.
• Karissa Lavone Williams, MA, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.