Kenna Williams MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

21163 Issued in TN

Legal business name

KENNA WILLIAMS MD PLLC

Practice address

1150 East College Street
Pulaski, TN 38478

Phone

(931) 363-7100

Fax

(931) 363-6111

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenna Jane Williams, MDNPI 1770571853

Title

President

Phone

(931) 363-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9607/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenna J Williams, M.D.

  • Surgery Physician
  • Pulaski, TN
  • NPI 1770571853
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1467573741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780912",
            "telephone_number": "931-363-7100",
            "fax_number": "931-363-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 EAST COLLEGE STREET",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-363-7100",
            "fax_number": "931-363-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNA WILLIAMS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENNA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-363-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "21163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tesa Harris Jolly, D.D.S
• Jasmine Nicole Journey
• Junipers of the World Inc
• Just 4 Kids Pediatrics
• Nour Adien Karzoun, MD
• Kid Core Therapy
• Kimberly M Rohaley MD LLC
• Martha Sloan Lake, OT
• Crystal Lynn Lambert
• John W. Lancaster

• Surgery Physician in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.