NPIMap

Individual provider Active NPI

Leslie Delvin Williams, M.D.

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1437563533
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TRN20136 Issued in FL
Practice address
1688 W Granada Blvd Ste 2a
Ormond Beach, FL 32174-1818
Phone
(386) 425-4460
Fax
(386) 425-4461
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN20136 FL Primary

Addresses

Primary practice location

1688 W Granada Blvd Ste 2a
Ormond Beach, FL 32174-1818

Mailing address

1688 W Granada Blvd Ste 2a
Ormond Beach, FL 32174-1818
Phone (386) 425-4460

Other practice location 1

201 N Clyde Morris Blvd
Suite 200
Daytona Beach, FL 32114-2724
Phone (386) 254-4165

Other practice location 2

201 N Clyde Morris Blvd
Suite 200
Daytona Beach, FL 32114-2724
Phone (386) 254-4165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426002536 FL Practitioner - Family Practice 2365669538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

303 N Clyde Morris Blvd
First Floor East
Daytona Beach, FL 32114-2709
Phone (386) 425-6198

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Mar 5, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

201 N Clyde Morris Blvd
Ste 200
Daytona Beach, FL 32114
Phone (386) 254-4165

303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198

1688 W Granada Blvd
Ste 2A
Ormond Beach, FL 32174
Phone (386) 425-4460

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: leslie.williams.1@16462.direct.athenahealth.com

Organizations & group practices 2

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 8

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1437563533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 W GRANADA BLVD STE 2A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741818",
            "telephone_number": "386-425-4460",
            "fax_number": "386-425-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 W GRANADA BLVD STE 2A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741818",
            "telephone_number": "386-425-4460",
            "fax_number": "386-425-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Clyde Morris Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142724",
            "country_code": "US",
            "telephone_number": "386-254-4165",
            "fax_number": "386-254-4339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Clyde Morris Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142724",
            "country_code": "US",
            "telephone_number": "386-254-4165",
            "fax_number": "386-254-4339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LESLIE",
        "middle_name": "DELVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN20136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.