Individual provider Active NPI

Mark David Williams, MD

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1447663679
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
87944 Issued in GA
Practice address
1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004
Phone
(678) 775-0600
Fax
(678) 377-5284
NPI assigned
Jun 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 87944 GA Primary

Addresses

Primary practice location

1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004

Mailing address

1942 Atkinson Rd Ste 100
Lawrenceville, GA 30043-5004
Phone (678) 775-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180731002207 PA Practitioner - Obstetrics/Gynecology 3779877709 Reassigns benefits to 1 organization
I20210913002047 GA Practitioner - Obstetrics/Gynecology 3779877709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

1942 Atkinson Rd
Suite 100
Lawrenceville, GA 30043-5004
Phone (678) 775-0600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Gwinnett Physician Group, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Aug 20, 2018 Accepting new patients
Gwinnett Medical Group, Inc PastSince Nov 1, 2021 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

500 Medical Center Blvd
Ste 250
Lawrenceville, GA 30046
Phone (770) 237-2480

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1942 Atkinson Rd
Ste 100
Lawrenceville, GA 30043
Phone (678) 775-0600

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

2050 S Queen St
#200
York, PA 17403
Phone (717) 812-2316

4222 Lincoln Hwy
York, PA 17406
Phone (717) 812-2050

Interoperability endpoints

  • Direct secure messaging: mwilliams159185@wellspan.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1447663679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 ATKINSON RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435004",
            "telephone_number": "678-775-0600",
            "fax_number": "678-377-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 ATKINSON RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435004",
            "telephone_number": "678-775-0600",
            "fax_number": "678-377-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "87944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.