Individual provider Active NPI

Heidi D Williams, M.D.

  • Plastic Surgery Physician
  • Mt Pleasant, SC
National Provider Identifier
1609821271
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
23012 Issued in SC
Practice address
887 Johnnie Dodds Blvd
Suite 100
Mt Pleasant, SC 29464-3164
Phone
(843) 375-0270
Fax
(843) 300-1258
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X SC23012 SC
Plastic Surgery Physician 208200000X 23012 SC Primary

Addresses

Primary practice location

887 Johnnie Dodds Blvd
Suite 100
Mt Pleasant, SC 29464-3164

Mailing address

887 Johnnie Dodds Blvd
Suite 100
Mt Pleasant, SC 29464-3164
Phone (843) 375-0270

Other identifiers 1

IdentifierTypeStateIssuer
230128MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040329000700 SC Practitioner - Plastic and Reconstructive Surgery 0446142913 Practice locations: Mt Pleasant, SC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SC23012SCMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1609821271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643164",
            "telephone_number": "843-375-0270",
            "fax_number": "843-300-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643164",
            "telephone_number": "843-375-0270",
            "fax_number": "843-300-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEIDI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "SC23012",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "23012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230128",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.