Active NPI
Caroline Parker Williams, M.D.
- Pediatrics Physician
- Jacksonville, FL
National Provider Identifier
1679729263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 126456
- Practice address
- 2121 Park St
Jacksonville, FL 32204-3811 - Phone
- (904) 387-6200
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Pediatrics Physician | 208000000X | 0101246021 | VA | |
| Pediatrics Physician | 208000000X | 126456 | FL | Primary |
Addresses
Primary practice location
2121 Park St
Jacksonville, FL 32204-3811
Mailing address
2121 Park St
Jacksonville, FL 32204-3811
Phone (904) 387-6200
Other practice location 1
77 Nealy Ave
Hampton, VA 23665-2040
Phone (757) 225-7630
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126456 | FL | MD | Pediatrics Physician |
| 0101246021 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carithers Pediatric Group | Past | Accepting new patients | |
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- carolinewilliams@tcpg.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Jacksonville, FL
- NPI 1275205627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1679729263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 PARK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043811",
"telephone_number": "904-387-6200",
"fax_number": "904-387-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 PARK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043811",
"telephone_number": "904-387-6200"
}
],
"practiceLocations": [
{
"address_1": "77 Nealy Ave",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236652040",
"country_code": "US",
"telephone_number": "757-225-7630",
"fax_number": "757-225-4464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAROLINE",
"middle_name": "PARKER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101246021",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "126456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.