Individual provider Active NPI

Steven Williams, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Memphis, TN
National Provider Identifier
1457685331
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
56690 Issued in TN
Practice address
6005 Park Ave Ste 624B
Memphis, TN 38119
Phone
(901) 682-1100
Fax
(019) 682-6915
NPI assigned
Sep 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241508 MA
Ophthalmology Physician 207W00000X ME124723 FL
Ophthalmology Physician 207W00000X RS2013-0106 NM
Retina Specialist (Ophthalmology) Physician 207WX0107X ME124723 FL
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X 56690 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 624B
Memphis, TN 38119

Mailing address

6005 Park Ave Ste 624B
Memphis, TN 38119-0214
Phone (901) 682-1100

Other practice location 1

10131 W Colonial Dr
#201
Ocoee, FL 34761-4209
Phone (407) 206-2020

Other identifiers 2

IdentifierTypeStateIssuer
241508OtherMAMA LICENSE
ME124723OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 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
I20180719003837 TN Practitioner - Ophthalmology 2264675040 Reassigns benefits to 1 organization
I20190307001655 AR Practitioner - Ophthalmology 2264675040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid South Retina Associates, LLCGroup PAC ID 8921080094, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

411 W Washington Ave
Suite C
Jonesboro, AR 72401-2781
Phone (870) 933-9262

6005 Park Ave
Suite 624
Memphis, TN 38119-5202
Phone (901) 682-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126221CAMDClinical Social Worker
241508MAMDInternal Medicine Physician
RS2013-0106NMMDOphthalmology Physician
56690TNMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid South Retina Associates, LLC Single Specialty CurrentSince Dec 23, 2018 Accepting new patients
Mid South Retina Associates, LLC Single Specialty Current Accepting new patients
Mid South Retina Associates LLC Single Specialty CurrentSince May 19, 2018 Accepting new patients
Mid-South Retina Associates, LLC Single Specialty CurrentSince May 19, 2018 Accepting new patients
Florida Eye Clinic P a Single Specialty Past Accepting new patients

Locations

533 N 10th St
Blytheville, AR 72315
Phone (870) 762-1942

820 E Matthews Ave
Ste E
Jonesboro, AR 72401
Phone (870) 933-9262

411 W Washington Ave
Ste C
Jonesboro, AR 72401

820 E Matthews Ave
Ste B
Jonesboro, AR 72401
Phone (870) 931-3377

6005 Park Ave
Ste 624B
Memphis, TN 38119
Phone (901) 682-1100

Interoperability endpoints

  • Direct secure messaging: swilliams@msra.intellechartdirect.net

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.

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1457685331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 624B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190214",
            "telephone_number": "901-682-1100",
            "fax_number": "019-682-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 624B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-682-1100",
            "fax_number": "019-682-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10131 W Colonial Dr",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614209",
            "country_code": "US",
            "telephone_number": "407-206-2020",
            "fax_number": "407-206-0127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "241508",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME124723",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "RS2013-0106",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME124723",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "56690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "241508",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME124723",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.