Individual provider Active NPI

Timmy Owen Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Grove Hill, AL
National Provider Identifier
1578657268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-052962 Issued in AL
Practice address
Jackson Street
Grove Hill, AL 36451
Phone
(251) 275-3191
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-052962 AL Primary

Addresses

Primary practice location

Jackson Street
Grove Hill, AL 36451

Mailing address

571 County Rd. 212
Valley Grande, AL 36701-3709
Phone (334) 877-1781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, MS, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040813000036 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557334109 Reassigns benefits to 4 organizations
I20130530000724 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557334109 Reassigns benefits to 3 organizations
I20170925000792 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557334109
I20200529002775 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557334109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

294 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-2992

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jan 22, 2018 Accepting new patients
Vaughan Regional Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2015 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 27, 2016 Accepting new patients
Cahaba Medical Care Foundation Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jan 22, 2018 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2019 Accepting new patients
BMR Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Vaughan Regional Anesthesia LLC CurrentSince May 13, 2020 Accepting new patients
Vaughan Regional Medical Center LLC CurrentSince Apr 28, 2020 Accepting new patients
Au Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2018 Accepting new patients

Locations

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

294 Pierson Ave
Centreville, AL 35042

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

1600 Jenks Ave
Ste 1
Panama City, FL 32405
Phone (855) 524-7246

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

2400 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 205-8404

195 King Ave
Athens, GA 30606
Phone (706) 543-6261

3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

728 E 67th St
Savannah, GA 31405
Phone (912) 352-3120

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

400 10th St E
Waconia, MN 55387

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timmy.williams.2@11347.direct.athenahealth.com

Organizations & group practices 12

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 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578657268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 COUNTY RD. 212",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367013709",
            "telephone_number": "334-877-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACKSON STREET",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "36451",
            "telephone_number": "251-275-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIMMY",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-052962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove Hill, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.