Individual provider Active NPI

Kwame A Williams, DPM

  • Podiatrist
  • Garrettsville, OH
National Provider Identifier
1508054123
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003472 Issued in OH
Practice address
8307 Windham St # 2
Garrettsville, OH 44231-9578
Phone
(614) 239-9444
Fax
(614) 237-5220
NPI assigned
Oct 9, 2007
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003472 OH Primary

Addresses

Primary practice location

8307 Windham St # 2
Garrettsville, OH 44231-9578

Mailing address

3255 E Livingston Ave
Columbus, OH 43227-1967
Phone (614) 239-9444

Other practice location 1

381 Cline Ave
Mansfield, OH 44907-1021
Phone (614) 239-9444

Other practice location 2

1641 Venture Dr Ste A
Mount Vernon, OH 43050-7001
Phone (614) 239-9444

Other practice location 3

3717 S High St
Columbus, OH 43207-4011
Phone (614) 239-9444

Other practice location 4

1265 Boardman Canfield Rd
Boardman, OH 44512-4010
Phone (330) 758-8808

Other identifiers 1

IdentifierTypeStateIssuer
2819801MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071113000190 OH Practitioner - Podiatry 0840388674 Reassigns benefits to 2 organizations
I20081106000603 PA Practitioner - Podiatry 0840388674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gentle Footcare LLCGroup PAC ID 0345152955, 18 clinicians

Practice addresses (Care Compare)

8307 Windham St
Suite 2
Garrettsville, OH 44231-9578
Phone (330) 527-4088

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue236
Removal or shaving of skin growth97
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003472OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Gentle Footcare LLC Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Gentle Footcare LLC Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Gentle Footcare LLC CurrentSince Aug 1, 2024 Accepting new patients
Gentle Footcare LLC Foot & Ankle Surgery PastSince Aug 1, 2024 Accepting new patients

Locations

3722 US Highway 68 S
Bellefontaine, OH 43311
Phone (937) 599-2600

3255 E Livingston Ave
Columbus, OH 43227
Phone (614) 239-0399

3713 S High St
Columbus, OH 43207
Phone (614) 492-9922

396 Portland Way N
Galion, OH 44833
Phone (419) 462-5543

8307 Windham St
#2
Garrettsville, OH 44231
Phone (330) 527-4088

4092 Gantz Rd
Grove City, OH 43123
Phone (614) 321-7196

3663 Ridge Mill Dr
Ste 104
Hilliard, OH 43026
Phone (614) 529-7800

900 E Franklin St
Kenton, OH 43326
Phone (419) 674-4036

381 Cline Ave
Mansfield, OH 44907
Phone (419) 756-6612

245 Stocksdale Dr
Marysville, OH 43040
Phone (937) 642-9936

8334 Mentor Ave
Ste 100
Mentor, OH 44060
Phone 44035784188

1641 Venture Dr
Ste A
Mount Vernon, OH 43050
Phone (740) 393-3338

159 W Main St
Newark, OH 43055
Phone (740) 344-2984

4913 Harroun Rd
Sylvania, OH 43560
Phone (419) 841-3003

970 E US Highway 36
Ste B
Urbana, OH 43078
Phone (937) 645-0102

119 Broad St
Wadsworth, OH 44281
Phone (330) 334-1534

420 Oak Hill Ave
Youngstown, OH 44502
Phone (330) 870-3900

Interoperability endpoints

  • Direct secure messaging: kwilliams20901@nomshealthcare.direct-ci.com
  • Direct secure messaging: kwilliamsdpt@ofas.medentdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1508054123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271967",
            "telephone_number": "614-239-9444",
            "fax_number": "614-237-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 WINDHAM ST # 2",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319578",
            "telephone_number": "614-239-9444",
            "fax_number": "614-237-5220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 Cline Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071021",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-237-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 Venture Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430507001",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-237-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3717 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432074011",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-237-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445124010",
            "country_code": "US",
            "telephone_number": "330-758-8808",
            "fax_number": "330-758-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KWAME",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2819801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrettsville, OH

Sources for this page

Verify at the official NPI Registry.