Organization Active NPI

Kenneth L Williams MD PHD

Doing business as Kenneth L Williams MD PhD Corp

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1700256971
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46286 Issued in TN
Legal business name
KENNETH L WILLIAMS MD PHD
Doing business as
Kenneth L Williams MD PhD Corp
Practice address
525 Royal Pkwy
Nashville, TN 37229-2878
Phone
(615) 579-2772
NPI assigned
Sep 30, 2015
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Dr. Kenneth Lamont Williams, M.D., PH.D.NPI 1902062391
Title
President / Chief Medical Officer
Phone
(615) 579-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46286 TN Primary

Addresses

Primary practice location

525 Royal Pkwy
Nashville, TN 37229-2878

Mailing address

PO Box 292878
Nashville, TN 37229-2878
Phone (615) 579-2772

Other practice location 1

250 Arrowood Dr
Clarksville, TN 37042-5186
Phone (615) 579-2772

Other practice location 2

2865 E Main St
Humboldt, TN 38343-3070
Phone (615) 579-2772

Other practice location 3

3425 Knight Dr
Whites Creek, TN 37189-9189
Phone (615) 579-2772

Other practice location 4

345 Compton Rd
Murfreesboro, TN 37130-1352
Phone (615) 579-2772

Other names 1

  • Kenneth L Williams MD PhD Corp Doing business as

National Provider Directory

National Provider Directory

Locations

525 Royal Pkwy
Unit 292878
Nashville, TN 37229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1700256971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292878",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372292878",
            "telephone_number": "615-579-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROYAL PKWY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372292878",
            "telephone_number": "615-579-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Arrowood Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370425186",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 E Main St",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383433070",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Knight Dr",
            "address_purpose": "LOCATION",
            "city": "Whites Creek",
            "state": "TN",
            "postal_code": "371899189",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Compton Rd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371301352",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNETH L WILLIAMS MD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PRESIDENT / CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "615-579-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth L Williams MD PhD Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenneth L Williams MD PhD Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.