Individual provider Active NPI

Victoria R Williams, DPM

  • Podiatrist
  • South Hill, VA
National Provider Identifier
1568925907
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301373 Issued in VA
Practice address
702 Plank Rd
South Hill, VA 23970-2414
Phone
(909) 714-4111
NPI assigned
Apr 11, 2019
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRAINING OH
Podiatrist 213E00000X 0103301373 VA Primary

Addresses

Primary practice location

702 Plank Rd
South Hill, VA 23970-2414

Mailing address

702 Plank Rd
South Hill, VA 23970-2414
Phone (909) 714-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 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
I20240322001490 PA Practitioner - Podiatry 9537539432 Reassigns benefits to 1 organization
I20260112001319 SC Practitioner - Podiatry 9537539432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Feet of SC LLCGroup PAC ID 8224457502, 10 clinicians

Practice addresses (Care Compare)

218 Granito Dr
Greer, SC 29650-2771
Phone (248) 528-2116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue260
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TRAININGOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Cranberry LLC. CurrentSince Jul 31, 2024 Accepting new patients
Healthy Feet of SC LLC Podiatrist CurrentSince Dec 22, 2025 Accepting new patients
Legacy Medical Centers LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

51 Dutilh Rd
Ste 100
Cranberry Twp, PA 16066
Phone (412) 683-4504

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1568925907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PLANK RD",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702414",
            "telephone_number": "909-714-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PLANK RD",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702414",
            "telephone_number": "909-714-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTORIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "TRAINING",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.