Active NPI
Victoria Regina Williams, M.D.
- Family Medicine Physician
- Stafford, TX
National Provider Identifier
1497746069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 047999
- Practice address
- 10502 Fountain Lake Dr Apt 737
Stafford, TX 77477-3720 - Phone
- (281) 753-4037
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 047999 | GA | Primary |
Addresses
Primary practice location
10502 Fountain Lake Dr Apt 737
Stafford, TX 77477-3720
Mailing address
10502 Fountain Lake Dr Apt 737
Stafford, TX 77477-3720
Phone (281) 753-4037
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110233451 | Other | GA | RAIL ROAD MEDICARE |
| 866392 | Other | GA | BLUE CROSS |
| 00927374A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047999 | GA | MD | Family Medicine Physician |
| 049799 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
| Monroe Hma Inc | Past | Accepting new patients | |
| Monroe Hma, LLC | Past | Accepting new patients | |
| Memorial Hermann Neighborhood Health Centers, PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Houston, TX
- NPI 1043266299
Family Medicine
-
- Hospitalist Physician
- Monroe, GA
- NPI 1710926241
-
- Internal Medicine Physician
- Monroe, GA
- NPI 1992757306
Family Medicine
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1043265564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1497746069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10502 FOUNTAIN LAKE DR APT 737",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773720",
"telephone_number": "281-753-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10502 FOUNTAIN LAKE DR APT 737",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773720",
"telephone_number": "281-753-4037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VICTORIA",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "047999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110233451",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "866392",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00927374A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.