Individual provider Active NPI

Charles Ody Williams, RPA-RA(CBRPA), RT(R)

  • Pulmonary Function Technologist Certified Respiratory Therapist
  • Atlanta, GA
National Provider Identifier
1659577708
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function Technologist Certified Respiratory TherapistTaxonomy code 2278P1006X
Practice address
1365 Clifton Rd NE # C430
Atlanta, GA 30322-1013
Phone
(404) 712-7034
Fax
(404) 727-3377
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular-Interventional Technology Radiologic Technologist 2471C1101X ARRT 053679 MN
Radiography Radiologic Technologist 2471C3402X ARRT 053679 MN
Vascular-Interventional Technology Radiologic Technologist 2471V0106X ARRT 053679 MN
Cardiac-Interventional Technology Radiologic Technologist 2471C1106X ARRT 053679 MN
Cardiovascular Invasive Specialist/Technologist 246XC2901X CCI 00040350 NC
Cardiology Technician 246W00000X CCI 00040350 NC
Medical Physician Assistant 363AM0700X CBRPA 03GA1071 RPA UT
Pulmonary Function Technologist Certified Respiratory Therapist 2278P1006X MT Primary

Addresses

Primary practice location

1365 Clifton Rd NE # C430
Atlanta, GA 30322-1013

Mailing address

1801 Womack Rd
Atlanta, GA 30338-5142
Phone (770) 390-0620

Other names 1

  • Mr. Chuck Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CCI 00040350NCMDCardiovascular Invasive Specialist/Technologist
ARRT 053679MNMDCardiovascular-Interventional Technology Radiologic Technologist
CBRPA 03GA1071 RPAUTMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1659577708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WOMACK RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385142",
            "telephone_number": "770-390-0620",
            "fax_number": "770-390-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE # C430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-712-7034",
            "fax_number": "404-727-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "middle_name": "ODY",
        "name_prefix": "Mr.",
        "credential": "RPA-RA(CBRPA), RT(R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "MN",
            "license": "ARRT 053679",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MN",
            "license": "ARRT 053679",
            "primary": false
        },
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "MN",
            "license": "ARRT 053679",
            "primary": false
        },
        {
            "code": "2471C1106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiac-Interventional Technology",
            "state": "MN",
            "license": "ARRT 053679",
            "primary": false
        },
        {
            "code": "246XC2901X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": "NC",
            "license": "CCI 00040350",
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NC",
            "license": "CCI 00040350",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "CBRPA 03GA1071 RPA",
            "primary": false
        },
        {
            "code": "2278P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "WILLIAMS",
            "prefix": "MR.",
            "credential": "RPA-RA(CBRPA), RT(R)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.