Individual provider Active NPI

Tuwanda C Williamson, MD

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1629018528
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
91829 Issued in GA
Practice address
10688 Lorain Ave
Cleveland, OH 44111-5411
Phone
(216) 682-7703
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 036112364 IL
Family Medicine Physician 207Q00000X 91829 GA Primary

Addresses

Primary practice location

10688 Lorain Ave
Cleveland, OH 44111-5411

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

5359 W Fullerton
Chicago, IL 60639
Phone (773) 836-2785

Other identifiers 1

IdentifierTypeStateIssuer
036112364MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, SC, GA, OH, TN, VA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050519000424 IL Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization
I20191204000471 NC Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization
I20220511000447 SC Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization
I20221116001686 GA Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization
I20230103002881 OH Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization
I20230505001576 TN Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization
I20240507001489 VA Practitioner - Family Practice 6608817630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009

Hospital & facility affiliations

  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91829GAMDFamily Medicine Physician
036112364ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC Family Medicine CurrentSince Sep 11, 2022 Accepting new patients
Osh-Oh Physicians Group PC Family Medicine CurrentSince Oct 16, 2022 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Osh-Mi Physicians Group PC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 1, 2005 Accepting new patients
Osh-VA Physicians Group PLLC Family Medicine CurrentSince Nov 18, 2023 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 1, 2005 Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC Family Medicine PastSince Jul 17, 2022 Accepting new patients
Qcpi-Villagemd, PC Family Medicine PastSince Jul 1, 2022 Accepting new patients

Locations

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

5359 W Fullerton Ave
Chicago, IL 60639
Phone (773) 836-2785

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008

11260 E Jefferson Ave
Detroit, MI 48214
Phone (313) 306-5494

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

1663 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 694-3001

6824 Harrisburg Rd
Charlotte, NC 28227
Phone (704) 532-1258

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

10688 Lorain Ave
Cleveland, OH 44111
Phone (216) 232-9807

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

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

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

5246 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 913-7029

Interoperability endpoints

  • Direct secure messaging: tuwanda.williamson@oakstreethealth.gwaydirect.com

Organizations & group practices 11

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 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1629018528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "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": "10688 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115411",
            "telephone_number": "216-682-7703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5359 W Fullerton",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60639",
            "country_code": "US",
            "telephone_number": "773-836-2785",
            "fax_number": "773-836-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "TUWANDA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112364",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "91829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.