Dave Anthony Williams, M.D., M.P.H.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME142056 Issued in FL

Practice address

1302 River St
Palatka, FL 32177-5042

Phone

(386) 328-8371

Fax

(386) 325-1086

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1467558858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-8371",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-8371",
            "fax_number": "386-325-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15888 Main St Ste 112B",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923453467",
            "country_code": "US",
            "telephone_number": "760-948-2242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1796 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92404",
            "country_code": "US",
            "telephone_number": "909-886-3555",
            "fax_number": "909-881-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1796 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92404",
            "country_code": "US",
            "telephone_number": "909-886-3555",
            "fax_number": "909-881-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W LATTIN STREET",
            "address_purpose": "LOCATION",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "321454111",
            "country_code": "US",
            "telephone_number": "904-692-1508",
            "fax_number": "904-692-1509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVE",
        "middle_name": "ANTHONY",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142056",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A65963",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A65963",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IA",
            "license": "39375",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME142056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE - IOWA",
            "identifier": "39375",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A65963",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106048700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Wilbur, D.M.D,P.A.
• Drew Wilburn, DMD
• Deanna Wilkinson
• William J Hale
• William Nicholson Ainsworth IV MD
• Jonell Williams, PT, DPT
• Richard Okyere Williams, DMD
• Ronnetta Williams, PHD
• Tammaliah Williams, RN
• Windsor Care & Rehab, LLC

• General Practice Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.