Reginald Michael Williams Jr.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1595 N Creekwater Pass
Greenfield, IN 46140-1285

Phone

(217) 304-8867

NPI assigned

Apr 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1457056905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 N CREEKWATER PASS",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401285",
            "telephone_number": "217-304-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 N CREEKWATER PASS",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401285",
            "telephone_number": "217-304-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REGINALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wildman, PA
• Kalen Leigh Wilkes, PA
• Jennifer Wilkinson, PHARMD
• Delynn M Williams, M.D.
• Ragan Michelle Williams
• Wilson Eyecare Professionals PC
• Wilson Optometry PC
• Douglas J Wilson, OD
• Renee Anne Wilson, NP
• Scott D Wilson, LCSW, LCAC

• Contractor in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.