Individual provider Active NPI

Daniel B Williams, MD

  • Family Medicine Physician
  • Cullman, AL
National Provider Identifier
1629093638
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22878 Issued in AL
Practice address
117 2ND Ave SE
Cullman, AL 35055-3511
Phone
(256) 291-8877
Fax
(833) 319-3812
NPI assigned
Jul 12, 2006
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22878 AL Primary

Addresses

Primary practice location

117 2ND Ave SE
Cullman, AL 35055-3511

Mailing address

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050919000516 AL Practitioner - Family Practice 7719874890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warehouse Primary Care and Specialty Clinic Inc.Group PAC ID 8527446301, 10 clinicians

Practice addresses (Care Compare)

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22878ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Family Clinic LLC Family Medicine CurrentSince Sep 8, 2024 Accepting new patients
Cedar Street Medical Associates Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Warehouse Primary Care & Specialty Clinic Inc. Family Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

101 2nd Ave SE
Cullman, AL 35055
Phone (256) 737-1793

117 2nd Ave SE
Cullman, AL 35055
Phone (256) 291-8877

220 Cedar St NW
Hartselle, AL 35640
Phone (256) 258-8579

Interoperability endpoints

  • Direct secure messaging: daniel.williams@818004554612740.direct.elationemr.com
  • Direct secure messaging: daniel.williams@948034614067204.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1629093638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "833-319-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "833-319-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.