Physician Disability Examination Services Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PHYSICIAN DISABILITY EXAMINATION SERVICES INC

Practice address

507 W 3Rd Ave Ste 8a
Albany, GA 31701-1945

Phone

(888) 589-9064

NPI assigned

Feb 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stanford Anthony Williamson, DO

Title

Ceo/Owner

Phone

(888) 589-9064

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dania Beach West Medicine and Rehab Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kinshishi T Batson, NP

  • Family Nurse Practitioner
  • Albany, GA
  • NPI 1821594870
  NPD (past)
• Kendra Sherrice Richardson

  • Primary Care Nurse Practitioner
  • Stockbridge, GA
  • NPI 1952074445
  NPD (past)

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1740587641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SUGARLOAF PKWY",
            "address_2": "SUITE 400 #290",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974452",
            "telephone_number": "888-589-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W 3RD AVE STE 8A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011945",
            "telephone_number": "888-589-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Byrd Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310889195",
            "country_code": "US",
            "telephone_number": "888-589-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN DISABILITY EXAMINATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-12",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "888-589-9064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OS10135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-106-500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dania Beach West Medicine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kim-Dung Thi Phung
• Physicians Choice Health Services, Inc..
• Kristin Lane Pierce, CCC-SLP
• Marsha G Pierdinock, M.D.
• Joseph Pietron, DO
• Whitney Pilgrim, CNM

• Pain Clinic/Center in Albany, GA
• Providers in Albany, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.