Organization Active NPI

Eugene H Williamson D.D.S.,M.S.,P.C.

  • Clinic/Center
  • Evans, GA
National Provider Identifier
1659306223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DN009012 Issued in GA
Legal business name
EUGENE H WILLIAMSON D.D.S.,M.S.,P.C.
Practice address
4250 Washington Rd
Evans, GA 30809-3087
Phone
(706) 860-5074
Fax
(706) 860-5088
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Catherine Williamson
Title
Office Manager
Phone
(706) 860-5074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DN009012 GA Primary

Addresses

Primary practice location

4250 Washington Rd
Evans, GA 30809-3087

Mailing address

4250 Washington Rd
Evans, GA 30809-3087
Phone (706) 860-5074

National Provider Directory

National Provider Directory

Locations

4250 Washington Rd
Evans, GA 30809
Phone (706) 860-3200

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659306223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093087",
            "telephone_number": "706-860-5074",
            "fax_number": "706-860-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093087",
            "telephone_number": "706-860-5074",
            "fax_number": "706-860-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE H WILLIAMSON D.D.S.,M.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-860-5074",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "DN009012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.