John Williams

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

CRC1529 Issued in SC

Practice address

121 Moore St
Walterboro, SC 29488-4463

Phone

(803) 727-2572

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1528421161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MOORE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884463",
            "telephone_number": "803-727-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MOORE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884463",
            "telephone_number": "803-727-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC1529",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "SC",
            "license": "CRC1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whiplash Pain Center of Walterboro
• Erin Whittington, APRN
• Sarah Wilhoit, PHARMD
• Alicia Danielle Williams
• Carrine Williams
• Petronia Williams
• Sylvia Joy Williams, CCC-SLP
• Melissa Wilson, LPC, BCABA
• Philip Spencer Witkin, DMD
• Women's Health Specialist LLC

• Assisted Living Facility (Mental Illness) in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Assisted Living Facility (Mental Illness) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.