Individual provider Active NPI

Chienyi Ruby Williams, M.D.

  • Pulmonary Disease Physician
  • Tallahassee, FL
National Provider Identifier
1437474863
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME131048 Issued in FL
Practice address
1607 Saint James CT Ste 2
Tallahassee, FL 32308-5352
Phone
(850) 878-8714
Fax
(850) 878-2464
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN#14952
Pulmonary Disease Physician 207RP1001X ME131048 FL Primary

Addresses

Primary practice location

1607 Saint James CT Ste 2
Tallahassee, FL 32308-5352

Mailing address

1607 Saint James CT Ste 2
Tallahassee, FL 32308-5352
Phone (850) 878-8714

Other practice location 1

1401 Centerville Rd Ste G02
Tallahassee, FL 32308-4638
Phone (850) 878-8714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170630002448 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2961630090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1607 Saint James CT
Suite 2
Tallahassee, FL 32308-5352
Phone (850) 878-8714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131048FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Pulmonary Disease CurrentSince Aug 1, 2017 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 1, 2017 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1401 Centerville Rd
Ste G02
Tallahassee, FL 32308
Phone (850) 431-2100

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

Interoperability endpoints

  • Direct secure messaging: cwilliams21681@tallahasseememorial.direct-ci.com

Organizations & group practices 4

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 1

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1437474863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 SAINT JAMES CT STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085352",
            "telephone_number": "850-878-8714",
            "fax_number": "850-878-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 SAINT JAMES CT STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085352",
            "telephone_number": "850-878-8714",
            "fax_number": "850-878-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Centerville Rd Ste G02",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084638",
            "country_code": "US",
            "telephone_number": "850-878-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHIENYI",
        "middle_name": "RUBY",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "TRN#14952",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME131048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.