NPIMap

Individual provider Active NPI

Tammy Michelle Williams, PA-C

  • Physician Assistant
  • Idabel, OK
National Provider Identifier
1528031655
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 1240 Issued in OK
Practice address
601 SE Washington St
Idabel, OK 74745-3319
Phone
(580) 286-6688
Fax
(580) 286-6699
NPI assigned
Feb 9, 2006
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 1240 OK Primary

Addresses

Primary practice location

601 SE Washington St
Idabel, OK 74745-3319

Mailing address

601 E Washington St
Idabel, OK 74745-3319
Phone (580) 286-6688

Other practice location 1

457 S Mississippi Ave
Atoka, OK 74525-2500
Phone (580) 889-4746

Other practice location 2

610 E 24th St
Tishomingo, OK 73460-3245
Phone (580) 371-2343

Other identifiers 1

IdentifierTypeStateIssuer
200004690AMedicaidOK

Other names 1

  • Tammy Michelle Tapley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000432 OK Practitioner - Physician Assistant 2365464690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2809 NE Lincoln Rd
Idabel, OK 74745-2421

403 S Indian Rd
Idabel, OK 74745-5458
Phone 5802866688140

6026 Battiest Pickens Rd
Broken Bow, OK 74728-5033
Phone 5802866688149

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 387-0509

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 1240OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kiamichi Family Medical Center, Inc CurrentSince Apr 21, 2008 Accepting new patients
McCurtain Memorial Medical Management, Inc. Past Accepting new patients
Kiamichi Family Medical Center Inc. Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

510 S Park Dr
Broken Bow, OK 74728
Phone (580) 286-6688

2809 NE Lincoln Rd
Idabel, OK 74745
Phone (580) 286-6688

403 S Indian Rd
Idabel, OK 74745
Phone (580) 286-6688

601 E Washington St
Idabel, OK 74745
Phone (580) 286-6688

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDGBBA

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1528031655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453319",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453319",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 S Mississippi Ave",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "OK",
            "postal_code": "745252500",
            "country_code": "US",
            "telephone_number": "580-889-4746",
            "fax_number": "580-889-4735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Tishomingo",
            "state": "OK",
            "postal_code": "734603245",
            "country_code": "US",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-3614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAMMY",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA 1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "TAPLEY",
            "middle_name": "MICHELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.