Active NPI
Steven Williams, M.D.
- Retina Specialist (Ophthalmology) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 56690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241508 | Other | MA | MA LICENSE |
| ME124723 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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, LLC
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126221 | CA | MD | Clinical Social Worker |
| 241508 | MA | MD | Internal Medicine Physician |
| RS2013-0106 | NM | MD | Ophthalmology Physician |
| 56690 | TN | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid South Retina Associates, LLC | Single Specialty | Current | Accepting new patients |
| Mid South Retina Associates, LLC | Single Specialty | Current | Accepting new patients |
| Mid South Retina Associates LLC | Single Specialty | Current | Accepting new patients |
| Mid-South Retina Associates, LLC | Single Specialty | Current | 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
- 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.
-
- Ophthalmology Physician
- Jackson, TN
- NPI 1447286802
Single Specialty
-
- Ophthalmology Physician
- Blytheville, AR
- NPI 1316973076
Single Specialty
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1215963350
Single Specialty
-
- Ophthalmology Physician
- Altamonte Springs, FL
- NPI 1417921180
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.