Individual provider Active NPI

Yusef Prince Williams, M.D.

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1699904243
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.31895 Issued in AL
Practice address
4126 W Main St
Dothan, AL 36305-9310
Phone
(334) 793-2120
Fax
(334) 671-2930
NPI assigned
Jul 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.31895 AL Primary

Addresses

Primary practice location

4126 W Main St
Dothan, AL 36305-9310

Mailing address

4126 W Main St
Dothan, AL 36305-9310
Phone (334) 793-2120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yusef.williams.2@3326.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120808000770 AL Practitioner - Family Practice 5597911487 Reassigns benefits to 3 organizations
I20160613000609 GA Practitioner - Family Practice 5597911487 Reassigns benefits to 2 organizations
I20220909001210 FL Practitioner - Family Practice 5597911487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMG Primecare LLCGroup PAC ID 7012283864, 7 clinicians

Practice addresses (Care Compare)

4126 W Main St
Dothan, AL 36305-9310
Phone (334) 793-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jul 21, 2020 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Mar 27, 2016 Accepting new patients
Wiregrass Clinic LLC Family Medicine CurrentSince Feb 9, 2015 Accepting new patients
FMG Primecare LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Jul 21, 2020 Accepting new patients
Primecare of Dothan, PC Past Accepting new patients

Locations

508 E Three Notch St
Ste 100
Andalusia, AL 36420
Phone (334) 362-2015

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

144 Virginia Ave
Daleville, AL 36322
Phone (334) 503-9900

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

4126 W Main St
Dothan, AL 36305
Phone (334) 793-2120

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

9390 The Landing Dr
Douglasville, GA 30135
Phone (770) 947-1112

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

Interoperability endpoints

  • Direct secure messaging: yusef.williams.1@3326.direct.athenahealth.com
  • Direct secure messaging: yusef.williams.2@3326.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3326/brand/1/csg/402/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1699904243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059310",
            "telephone_number": "334-793-2120",
            "fax_number": "334-671-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059310",
            "telephone_number": "334-793-2120",
            "fax_number": "334-671-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "YUSEF",
        "middle_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-03",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.31895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yusef.williams.2@3326.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4126 W Main St",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363059310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.