NPIMap

Individual provider Active NPI

Cheryl G Williams, D.O.

  • Family Medicine Physician
  • Mount Vernon, MO
National Provider Identifier
1730187204
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
113319 Issued in MO
Practice address
1011 S East St
Mount Vernon, MO 65712-1331
Phone
(417) 466-7191
Fax
(417) 466-3876
NPI assigned
Jul 8, 2005
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 113319 MO Primary

Addresses

Primary practice location

1011 S East St
Mount Vernon, MO 65712-1331

Mailing address

1011 S East St
Mount Vernon, MO 65712-1399
Phone (417) 466-7191

Other practice location 1

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122

Other identifiers 1

IdentifierTypeStateIssuer
244964904MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000092 MO Practitioner - Family PracticePractitioner - Emergency Medicine 7315978236 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-7800

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Cassville CurrentSince Jul 1, 2010 Accepting new patients
Mercy Hospital Cassville CurrentSince Jul 1, 2010 Accepting new patients
Mercy Hospital Aurora CurrentSince Jul 1, 2010 Accepting new patients
Mercy Hospital Aurora CurrentSince Jul 1, 2010 Accepting new patients
Cheryl G Williams DO PC Family Medicine CurrentSince Jul 1, 2000 Accepting new patients
Community Care Center of Aurora, Inc Past Accepting new patients
Bel Oak of Seneca, LLC PastSince Jan 28, 2025 Accepting new patients
Granby No 1 Inc Past Accepting new patients
Lawrence County Nursing Home District Past Accepting new patients
Bel Oak of Aurora LLC Past Accepting new patients
Cox-Monett Hospital, Inc. Past Accepting new patients
Meridian Healthcare LLC Past Accepting new patients
Cassville Healthcare LLC Past Accepting new patients
Cassville Health Care Center, L.L.C. Past Accepting new patients
Aspire Senior Living Roaring River LLC Past Accepting new patients
NBH3 Sfopco LLC Past Accepting new patients
Bel Oak of Mt. Vernon, LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440

1011 S East St
Mount Vernon, MO 65712
Phone (417) 466-7191

1011 S East St
#I44
Mount Vernon, MO 65712

1425 S Landrum St
Mount Vernon, MO 65712
Phone (417) 466-2260

Interoperability endpoints

  • Direct secure messaging: cheryl.williams@cernerdirect.coxhealth.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lawrence County ManorMount Vernon, MO, CCN 265752 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2024
Apr 1, 2024
Granby HouseGranby, MO, CCN 265468 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Seneca NursingSeneca, MO, CCN 265491 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 11, 2024
Jan 28, 2025
Mt Vernon NursingMount Vernon, MO, CCN 265452 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 28, 2025
Apr 7, 2026
Ascend at AuroraAurora, MO, CCN 265182 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2025
Oct 1, 2025
Mt. Vernon ClinicMount Vernon, MO, CCN 268946 Rural health clinic Contracted Managing Employee (100%)
5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee		 Jul 1, 2022
Jul 1, 2002
Jul 1, 2000

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1730187204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S EAST ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121399",
            "telephone_number": "417-466-7191",
            "fax_number": "417-466-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S EAST ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121331",
            "telephone_number": "417-466-7191",
            "fax_number": "417-466-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052365",
            "country_code": "US",
            "telephone_number": "417-678-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHERYL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244964904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.