Organization Active NPI

Kelcey L Williams MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dothan, AL
National Provider Identifier
1437459104
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KELCEY L WILLIAMS MD PLLC
Practice address
1736 E Main St
Dothan, AL 36301-3040
Phone
(817) 284-9850
Fax
(817) 284-9859
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Kelcey L Williams, M.D.NPI 1700194669
Title
Owner/Rendering Provider
Phone
(817) 284-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

1736 E Main St
Dothan, AL 36301-3040

Mailing address

104 Apple Ave
Ste 3 #114
Dothan, AL 36303
Phone (817) 284-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110308000401 TX Part B Supplier - Clinic/Group Practice 3870775158 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Pearland, TX
O20240423003232 AL Part B Supplier - Clinic/Group Practice 3870775158 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1101 W 34th St
Austin, TX 78705
Phone (512) 641-4020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1437459104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 APPLE AVE",
            "address_2": "STE 3 #114",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013040",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELCEY L WILLIAMS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELCEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/RENDERING PROVIDER",
        "authorized_official_telephone_number": "817-284-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.