Active NPI
William J Williams, D.O.
- Internal Medicine Physician
- Jefferson City, TN
National Provider Identifier
1508896952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 962
- Practice address
- 1526 Meadow Spring Dr
Jefferson City, TN 37760-2041 - Phone
- (865) 475-4988
- Fax
- (865) 475-4350
- NPI assigned
- Jul 3, 2006
- Last updated
- Nov 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 962 | TN | Primary |
| Pediatrics Physician | 208000000X | 962 | TN |
Addresses
Primary practice location
1526 Meadow Spring Dr
Jefferson City, TN 37760-2041
Mailing address
1526 Meadow Spring Dr
Jefferson City, TN 37760-2041
Phone (865) 475-4988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33031801 | Medicaid | TN | |
| 5167078 | Other | TN | AETNA |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeway Emergency Physicians, LLC | Past | Accepting new patients | |
| William J Williams DO PC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Morristown Clinic Corp | Internal 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bartlette Place Medical Group
- Primary Care Clinic/Center
- Morristown, TN
- NPI 1215136874
-
- Emergency Medicine Physician
- Morristown, TN
- NPI 1598714826
-
- Emergency Medicine Physician
- Morristown, TN
- NPI 1043529787
-
- Internal Medicine Physician
- Morristown, TN
- NPI 1700990959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1508896952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 MEADOW SPRING DR",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377602041",
"telephone_number": "865-475-4988",
"fax_number": "865-475-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 MEADOW SPRING DR",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377602041",
"telephone_number": "865-475-4988",
"fax_number": "865-475-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "962",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "962",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33031801",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5167078",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.