Carl Demetris Williams

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

43395132 Issued in TX

Practice address

2007 Beacon Chase CT
Spring, TX 77373-2706

Phone

(281) 726-3725

NPI assigned

May 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greater Light Transportation

  • Non-emergency Medical Transport (VAN)
  • Spring, TX
  • NPI 1497322796
  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1669047445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 BEACON CHASE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 BEACON CHASE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732706",
            "telephone_number": "281-726-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARL",
        "middle_name": "DEMETRIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "43395132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antanecia Williams
• Asia Lenise Williams, PA-C
• Barbett Marie Williams
• Blair Nicole Williams, PT
• Brianna Williams, OTR
• Chloe Williams, FNP-C
• Christalyn Williams, LCSW
• Christian Williams
• Dana Kim Williams
• Daniel W Williams Jr., DDS

• Non-emergency Medical Transport (VAN) in Spring, TX
• Providers in Spring, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.