Organization Active NPI

Tracy Williamson, DC, PC

  • Chiropractor
  • Big Rapids, MI
National Provider Identifier
1710907241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007919 Issued in MI
Legal business name
TRACY WILLIAMSON, DC, PC
Practice address
118 S Michigan Ave
Big Rapids, MI 49307-1808
Phone
(231) 796-0533
Fax
(231) 796-7322
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tracy Marie Williamson, D.C.
Title
President
Phone
(231) 796-0533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007919 MI Primary

Addresses

Primary practice location

118 S Michigan Ave
Big Rapids, MI 49307-1808

Mailing address

118 S Michigan Ave
PO Box 911
Big Rapids, MI 49307-1808
Phone (231) 796-0533

Other names 1

  • Family Chiropractic Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061012000247 MI Part B Supplier - Clinic/Group Practice 4880690940 Receives reassigned benefits from 1 practitioner
Practice locations: Big Rapids, MI

National Provider Directory

National Provider Directory

Locations

118 S Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-0533

Interoperability endpoints

  • Direct secure messaging: queen@fchc0002.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710907241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MICHIGAN AVE",
            "address_2": "PO BOX 911",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071808",
            "telephone_number": "231-796-0533",
            "fax_number": "231-796-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MICHIGAN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071808",
            "telephone_number": "231-796-0533",
            "fax_number": "231-796-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY WILLIAMSON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-796-0533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.