Active NPI
Reginald Williams Estate
- Private Vehicle
- Gainesville, GA
National Provider Identifier
1699461392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- REGINALD WILLIAMS ESTATE
- Practice address
- 2160 Grant St
Gainesville, GA 30504-5914 - Phone
- (706) 351-2440
- NPI assigned
- Apr 14, 2023
- Last updated
- Apr 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reginald Williams
- Title
- Agent
- Phone
- (706) 351-2440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
2160 Grant St
Gainesville, GA 30504-5914
Mailing address
2160 Grant St
Gainesville, GA 30504-5914
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1699461392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 GRANT ST",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 GRANT ST",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045914",
"telephone_number": "706-351-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINALD WILLIAMS ESTATE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "REGINALD",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "706-351-2440"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.