NPIMap

Individual provider Active NPI

Tisha Abercrombie Williams, M.D.

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1619084308
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33323 Issued in SC
Practice address
550 S Church St Ste 4
Spartanburg, SC 29306-3306
Phone
(864) 774-7001
Fax
(864) 499-3742
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049713 GA
Family Medicine Physician 207Q00000X 33323 SC Primary

Addresses

Primary practice location

550 S Church St Ste 4
Spartanburg, SC 29306-3306

Mailing address

PO Box 740013
Atlanta, GA 30374-0013
Phone (312) 733-9730

Other practice location 1

1211 North Main St
Marion, SC 29571-2008
Phone (843) 765-2985

Other identifiers 3

IdentifierTypeStateIssuer
33323OtherSCMEDICAL LICENSE
000912194CMedicaidGA
333231MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tisha.williams@thg.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110315000735 SC Practitioner - Family Practice 5193638955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7112

394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050

631 Bellamy Ave
Unit a
Murrells Inlet, SC 29576-6459
Phone (843) 651-0550

Hospital & facility affiliations

  • NHC Homecare Murrells Inlet Home health agency, Murrells Inlet, SC, CCN 427124
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049713GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. Family Medicine Current Accepting new patients
Conway Hospital, Inc. CurrentSince May 2, 2022 Accepting new patients
Conway Hospital, Inc. CurrentSince May 2, 2022 Accepting new patients
Conway Hospital, Inc. Current Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
Phoebe Physician Group, Inc Past Accepting new patients
Family Health Center of Tiftarea Family Medicine PastSince Oct 1, 2003 Accepting new patients
Suburban Seniors Inc Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

1211 N Main St
Marion, SC 29571
Phone (843) 319-6089

631 Bellamy Ave
Unit A
Murrells Inlet, SC 29576
Phone (843) 299-1451

550 S Church St
Ste 4
Spartanburg, SC 29306
Phone (864) 774-7001

Interoperability endpoints

  • Direct secure messaging: tisha.williams@conwaymedicalcenter.cernerdirect.com

Organizations & group practices 10

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1619084308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740013",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CHURCH ST STE 4",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063306",
            "telephone_number": "864-774-7001",
            "fax_number": "864-499-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 North Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "SC",
            "postal_code": "295712008",
            "country_code": "US",
            "telephone_number": "843-765-2985",
            "fax_number": "843-765-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TISHA",
        "middle_name": "ABERCROMBIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049713",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "33323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "33323",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000912194C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333231",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tisha.williams@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4040 Highway 17",
            "address_2": "Suite 104",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.