Individual provider Active NPI

Dorothy A. O. White-Williams, M.D.

  • Family Medicine Physician
  • Clarkston, GA
National Provider Identifier
1598897530
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046281 Issued in GA
Practice address
3700 Market St Ste C
Clarkston, GA 30021-2652
Phone
(404) 298-9333
Fax
(404) 298-9931
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

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
Family Medicine Physician 207Q00000X 046281 GA Primary

Addresses

Primary practice location

3700 Market St Ste C
Clarkston, GA 30021-2652

Mailing address

3700 Market St Ste C
Clarkston, GA 30021-2652
Phone (404) 298-9333

Other identifiers 2

IdentifierTypeStateIssuer
00910093AMedicaidGA
046281OtherGASTATE MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000044 GA Practitioner - Family Practice 7416010103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Atlanta Family Healthcare LLCGroup PAC ID 8729141403, 2 clinicians

Practice addresses (Care Compare)

3700 Market St
Suite C
Clarkston, GA 30021-2652
Phone (404) 298-9333

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Family Healthcare LLC Family Medicine CurrentSince Jan 19, 2001 Accepting new patients

Locations

3700 Market St
Ste C
Clarkston, GA 30021
Phone (404) 298-9333

Interoperability endpoints

  • Direct secure messaging: dorothy.whitewilliams@gadirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598897530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 MARKET ST STE C",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212652",
            "telephone_number": "404-298-9333",
            "fax_number": "404-298-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MARKET ST STE C",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212652",
            "telephone_number": "404-298-9333",
            "fax_number": "404-298-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-WILLIAMS",
        "first_name": "DOROTHY",
        "middle_name": "A. O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00910093A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "046281",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, GA

Sources for this page

Verify at the official NPI Registry.