NPIMap

Individual provider Active NPI

Anthony Williamson, M.D.

  • Neurology Physician
  • Bluffton, SC
National Provider Identifier
1609829845
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
10121 Issued in MT
Practice address
75 Baylor Dr Ste 155
Bluffton, SC 29910-8965
Phone
(843) 836-3667
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10121 MT Primary

Addresses

Primary practice location

75 Baylor Dr Ste 155
Bluffton, SC 29910-8965

Mailing address

PO Box 1196
Missoula, MT 59806-1196
Phone (406) 360-9396

Other practice location 1

117 Willow Ridge Ct
Missoula, MT 59803-3364
Phone (406) 360-9396

Other practice location 2

8 Hospital Center Blvd Ste 110
Hilton Head Island, SC 29926-8701
Phone (843) 681-4966

Other identifiers 1

IdentifierTypeStateIssuer
0047983MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222002378 MT Practitioner - Neurology 9436293560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 447-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83076SCMDPulmonary Disease Physician
10121MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health CurrentSince Feb 1, 2024 Accepting new patients
St Peter's Medical Group North CurrentSince Feb 1, 2024 Accepting new patients
St Peter's Health Current Accepting new patients
St. Peter's Health Neurology Past Accepting new patients
Lander Valley Physician Practices, LLC Neurology Past Accepting new patients
Montana Neurobehavioral Specialists Neurology Past Accepting new patients

Locations

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2525 E Broadway St
Ste 200
Helena, MT 59601
Phone (406) 327-3924

2525 E Broadway St
Helena, MT 59601
Phone (406) 457-4300

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1609829845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061196",
            "telephone_number": "406-360-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BAYLOR DR STE 155",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108965",
            "telephone_number": "843-836-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Willow Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598033364",
            "country_code": "US",
            "telephone_number": "406-360-9396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Hospital Center Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299268701",
            "country_code": "US",
            "telephone_number": "843-681-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "10121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047983",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.