NPIMap

Organization Active NPI

Twin Family Medical PC

Doing business as Williams Family Medical

  • Primary Care Clinic/Center
  • Big Rapids, MI
National Provider Identifier
1467960369
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301086484 Issued in MI
Legal business name
TWIN FAMILY MEDICAL PC
Doing business as
Williams Family Medical
Practice address
209 S Michigan Ave
Big Rapids, MI 49307-1809
Phone
(989) 878-1973
NPI assigned
Jan 14, 2018
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dr. Rachel M Williams, MDNPI 1598849796
Title
President
Phone
(616) 840-1167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301086484 MI Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

209 S Michigan Ave
Big Rapids, MI 49307-1809

Mailing address

209 S Michigan Ave
Big Rapids, MI 49307-1809
Phone (616) 840-1167

Other names 1

  • Williams Family Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103000940 MI Part B Supplier - Clinic/Group Practice 9335573120 Receives reassigned benefits from 3 practitioners
Practice locations: Big Rapids, MI

National Provider Directory

National Provider Directory

Locations

209 S Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-8665

209 S Michigan Ave
Ste 1
Big Rapids, MI 49307
Phone (616) 840-1167

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1467960369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S MICHIGAN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071809",
            "telephone_number": "616-840-1167",
            "fax_number": "855-936-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S MICHIGAN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071809",
            "telephone_number": "989-878-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FAMILY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-14",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-840-1167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301086484",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.