Individual provider Active NPI

Stacey Rebecca Williams, D.O.

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1437340577
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
000053 Issued in LA
Practice address
2020 Gravier St
7Thfloor, Suite D
New Orleans, LA 70112-2272
Phone
(504) 903-3594
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 000053 LA Primary

Addresses

Primary practice location

2020 Gravier St
7Thfloor, Suite D
New Orleans, LA 70112-2272

Mailing address

2020 Gravier St
7Thfloor, Suite D
New Orleans, LA 70112-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, NC, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20101014000135 MS Practitioner - Emergency Medicine 3173676053 Reassigns benefits to 2 organizations
I20121105000117 TN Practitioner - Emergency Medicine 3173676053 Reassigns benefits to 2 organizations
I20140812001513 NC Practitioner - Emergency Medicine 3173676053 Reassigns benefits to 1 organization
I20220913002611 CO Practitioner - Emergency Medicine 3173676053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1114 W Madison Ave
Athens, TN 37303-4150
Phone (423) 741-1411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2332TNMDOptometrist
000053LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Sep 29, 2024 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Feb 5, 2019 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Jun 11, 2014 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc. Emergency Medicine CurrentSince Sep 29, 2024 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Acs Emergency Services of Mississippi Professional Association Emergency Medicine PastSince Sep 20, 2020 Accepting new patients

Locations

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

1114 W Madison Ave
Athens, TN 37303
Phone (423) 744-3256

436 Central Ave W
Jamestown, TN 38556
Phone (931) 752-5762

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

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 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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1437340577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GRAVIER ST",
            "address_2": "7THFLOOR, SUITE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GRAVIER ST",
            "address_2": "7THFLOOR, SUITE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122272",
            "telephone_number": "504-903-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACEY",
        "middle_name": "REBECCA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "000053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.