Individual provider Active NPI

E Camille Davis-Williams, M.D.

  • Obstetrics Physician
  • Atlanta, GA
National Provider Identifier
1487646683
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
25137 Issued in GA
Practice address
550 Peachtree St NE
Suite 1470
Atlanta, GA 30308-2242
Phone
(404) 589-2670
Fax
(404) 589-2671
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 25137 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1470
Atlanta, GA 30308-2242

Mailing address

550 Peachtree St NE
Suite 1470
Atlanta, GA 30308-2247
Phone (404) 589-2670

Other identifiers 1

IdentifierTypeStateIssuer
000308998BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000209 GA Practitioner - Obstetrics/Gynecology 5294620365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Camille Davis-Williams, M.D., P.C.Group PAC ID 3577458645, 4 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

550 Peachtree St NE
Atlanta, GA 30308-2242
Phone (404) 589-2670

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Camille Davis-Williams, M.D., P.C. CurrentSince Aug 10, 1983 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1470
Atlanta, GA 30308
Phone (404) 589-2670

Interoperability endpoints

  • Direct secure messaging: cdaviswilliams@gawhc.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1487646683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-589-2670",
            "fax_number": "404-589-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082242",
            "telephone_number": "404-589-2670",
            "fax_number": "404-589-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-WILLIAMS",
        "first_name": "E",
        "middle_name": "CAMILLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "25137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000308998B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.