Individual provider Active NPI

Roger Todd Williams, MD

  • Family Medicine Physician
  • Cave City, KY
National Provider Identifier
1740230366
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37488 Issued in KY
Practice address
400 N Dixie Hwy
Cave City, KY 42127-9546
Phone
(270) 773-2600
Fax
(270) 361-5101
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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 5

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

Owned or controlled facilities with NPI records 2

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLC 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • T. J. Samson Comm Hosp Home Care Program Home health agency, Glasgow, KY, CCN 187062
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Caverna Memorial Hospital Hospital, Horse Cave, KY, CCN 181314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000431 KY Practitioner - Family Practice 4981707957 Reassigns benefits to 2 organizations

All facility ownership & control disclosures 2

Medicare enrollment files

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

FacilityTypeRoleSince
GGC Rural Health Clinic Cave CityCave City, KY, CCN B08902 Rural health clinic Corporate Director
W-2 Managing Employee
Jan 2, 2025
Jan 2, 2025
GGC Rural Health Clinic BrownsvilleBrownsville, KY, CCN B08908 Rural health clinic Corporate Director
W-2 Managing Employee
Jul 9, 2025
Jul 9, 2025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37488KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Oct 1, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 6, 2015 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Oct 1, 2016 Accepting new patients
Community Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Icc Medical LLC Past Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560

100 Park Pl
#4
Brownsville, KY 42210
Phone (270) 597-8353

400 N Dixie Hwy
Cave City, KY 42127
Phone (270) 773-2600

810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1330 N Race St
Glasgow, KY 42141
Phone (270) 629-2780

405 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 479-0260

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

Interoperability endpoints

  • Direct secure messaging: rogerwilliams@ggc.allscriptsdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37488 KY Primary
Emergency Medicine Physician 207P00000X 37488 KY

Addresses

NPPES NPI Registry

Primary practice location

400 N Dixie Hwy
Cave City, KY 42127-9546

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 773-2600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
64058233MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2016.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1740230366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-773-2600",
            "fax_number": "270-361-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N DIXIE HWY",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421279546",
            "telephone_number": "270-773-2600",
            "fax_number": "270-361-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROGER",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37488",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "37488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64058233",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave City, KY

Sources for this page

Verify at the official NPI Registry.