Williams Plastic and Reconstructive Surgery,PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC

Practice address

1506 Professional CT
Dalton, GA 30720-2500

Phone

(706) 278-2700

Fax

(706) 278-3444

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Klancy Lauren Owens

Title

Practice Manager

Phone

(706) 278-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Williams Plastic and Reconstructive Surgery,PC

  • Ambulatory Surgical Clinic/Center
  • Dalton, GA
  • NPI 1699759035

  0244494953

  Same PAC ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Alfred Williams III, MD

  • Plastic and Reconstructive Surgery Physician
  • Dalton, GA
  • NPI 1821072406
  Medicare reassignment Care Compare group NPD
• Allison Bond Wilson, PA-C

  • Physician Assistant
  • Dalton, GA
  • NPI 1629530365
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1619228897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202500",
            "telephone_number": "706-278-2700",
            "fax_number": "706-278-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202500",
            "telephone_number": "706-278-2700",
            "fax_number": "706-278-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KLANCY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-278-2700"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitfield Medical Professional Association
• Linda Wiegand, LPC
• Jenny L Wilhoite, LPC, M.ED
• William P McKay MD
• Williams Chiropractic Center
• Williams Plastic and Reconstructive Surgery,PC
• Betty Williams, FNP
• Joel Alfred Williams III, MD
• Nancy Lampkin Williams, D.D.S.
• Parker James Williams, DO, MBA

• Plastic Surgery Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.