Michael Williams

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001778 Issued in GA

Practice address

3100 Club Dr
Lawrenceville, GA 30044-2591

Phone

(770) 923-3100

NPI assigned

Feb 16, 2024

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1669237814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 PARKVIEW MINE DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186232",
            "telephone_number": "404-210-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CLUB DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442591",
            "telephone_number": "770-923-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitzroy Williams
• Hannah Patricia Williams
• James Edward Williams, ATC
• Jasmine Denise Williams, MSW
• Mark David Williams, MD
• Mirrie Anntionette Williams, LPC
• Myreon Williams, M.D.
• Phillip George Williams
• Rebecca Lynn Williams, M.D.
• Shayla Raielle Williams, RN

• Occupational Therapy Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.