Individual provider Active NPI

Kelcey L Williams, MD

  • Physical Medicine & Rehabilitation Physician
  • Dothan, AL
National Provider Identifier
1700194669
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
48220 Issued in AL
Practice address
1736 E Main St
Dothan, AL 36301-3040
Phone
(334) 712-6333
Fax
(817) 284-9859
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 48220 AL Primary

Addresses

Primary practice location

1736 E Main St
Dothan, AL 36301-3040

Mailing address

104 Apple Ave
Ste 3 #114
Dothan, AL 36303
Phone (817) 284-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110308000443 TX Practitioner - Physical Medicine and Rehabilitation 4486836764 Reassigns benefits to 1 organization
I20240423003790 AL Practitioner - Physical Medicine and Rehabilitation 4486836764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1736 E Main St
Dothan, AL 36301-3040
Phone (817) 284-9850

2121 Business Ctr Dr
Pearland, TX 77584-2153
Phone (346) 907-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48220ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelcey L Williams MD PLLC Physical Medicine & Rehabilitation CurrentSince Nov 5, 2010 Accepting new patients

Locations

1736 E Main St
Dothan, AL 36301
Phone (334) 712-6333

1736 E Main St
Ste 200242
Dothan, AL 36301

104 Apple Ave
Ste 3
Dothan, AL 36303

1101 W 34th St
Austin, TX 78705
Phone (512) 641-4020

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

2541 S Ih 35
#200242
Round Rock, TX 78664

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1700194669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 APPLE AVE",
            "address_2": "STE 3 #114",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013040",
            "telephone_number": "334-712-6333",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELCEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "48220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.