Organization Active NPI

Physician Disability Examination Services Inc

  • Physical Medicine & Rehabilitation Physician
  • Warner Robins, GA
National Provider Identifier
1487064051
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS10135 Issued in FL
Legal business name
PHYSICIAN DISABILITY EXAMINATION SERVICES INC
Practice address
108 Byrd Way Ste 100
Warner Robins, GA 31088-9195
Phone
(954) 791-1600
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Rasheeda G Williamson
Title
Practice Manager
Phone
(229) 573-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X OS10135 FL Primary

Addresses

Primary practice location

108 Byrd Way Ste 100
Warner Robins, GA 31088-9195

Mailing address

6600 Sugarloaf Pkwy
Suite 400 #290
Duluth, GA 30097
Phone (229) 573-0039

Other practice location 1

507 W 3rd Ave Ste 8A
Albany, GA 31701-1945
Phone (888) 589-9064

Other names 3

  • Dania Beach West Medicine and Rehab Doing business as
  • Dr. Stanford Williamson Doing business as
  • Physician Disability Examination Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160506002001 GA Part B Supplier - Clinic/Group Practice 4789906421 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, GA; Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

1108 Kane Concourse
Ste 300302
Bay Harbor Islands, FL 33154
Phone (954) 791-1600

440 E Sample Rd
Ste 208
Pompano Beach, FL 33064
Phone (888) 589-9064

507 W 3rd Ave
Ste A
Albany, GA 31701

108 Byrd Way
Ste 1000
Warner Robins, GA 31088

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1487064051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SUGARLOAF PKWY",
            "address_2": "SUITE 400 #290",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "229-573-0039",
            "fax_number": "888-684-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889195",
            "telephone_number": "954-791-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 W 3rd Ave Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011945",
            "country_code": "US",
            "telephone_number": "888-589-9064",
            "fax_number": "888-684-8452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN DISABILITY EXAMINATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RASHEEDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "229-573-0039"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS10135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dania Beach West Medicine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Stanford Williamson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Stanford Williamson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physician Disability Examination Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.