Grant David Williams, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M4656 Issued in TX

Practice address

1301 Wonder World Dr
San Marcos, TX 78666-7533

Phone

(512) 753-3796

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Emergency Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwilliams661040@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wake Forest Emergency Providers

  • Multi-Specialty Clinic/Center
  • Statesville, NC
  • NPI 1396216735
  Medicare reassignment Care Compare group NPD
• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  NPD

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

• Charles a Cannon Jr Memorial Hospital Inc

  dba Cannon Inpatient Behavioral Health

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital Inc.

  dba Appalachian Regional Healthcare System

  • Critical Access Hospital
  • Linville, NC
  • NPI 1225088255
  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1487697074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 RIDGECREST ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664923",
            "telephone_number": "512-667-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-753-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GRANT",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V3081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia L Willburn, SLP
• William Kern Deschner MD PA Gastroenterology of San Marcos
• Abigail Williams
• Anne Williams, LPC
• Elizabeth Williams
• Kim Kaye Williams, LVN
• Lindsey Williams, MS CCC-SLP
• Micah Elise Williams, PA
• Rayna Jenae Williams, MS, LAT. ATC
• Shannon H Williams, PT

• Emergency Medicine Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.