Logan Kai Williams

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

61289 Issued in TN

Practice address

100 Physicians Way Ste 320
Lebanon, TN 37090-8103

Phone

(615) 874-8006

Fax

(615) 316-4026

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Obstetrics/Gynecology

Education

University of Tennessee, HSC, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Womens Group, LLCGroup PAC ID 4789938721, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: logan.williams@hca1.eclinicaldirectplus.com

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.

• Centennial Womens Group, LLC

  • Obstetrics & Gynecology Physician
  • Brentwood, TN
  • NPI 1710478466
  Medicare reassignment Care Compare group NPD

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

• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1497118095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762059",
            "telephone_number": "615-874-8006",
            "fax_number": "615-316-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHYSICIANS WAY STE 320",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908103",
            "telephone_number": "615-874-8006",
            "fax_number": "615-316-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5651 Frist Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762059",
            "country_code": "US",
            "telephone_number": "615-874-8006",
            "fax_number": "615-316-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LOGAN",
        "middle_name": "KAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-01-04",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "61289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LOGAN.WILLIAMS@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5651 Frist Blvd Ste 500",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370762059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Andrew Wienczkowski, M.D.
• Kaetlyn Jordan Wilburn
• Willard M West M D
• William J Littman MD PC
• Chadwick Lee Williams, D.M.D.
• Nathan Denton Williams, M.A., RBT
• Eric Willis
• Joseph Willis, RBT
• William E Willis Jr., DDS
• Wilson County Board of Education

• Obstetrics & Gynecology Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.