NPIMap

Individual provider Active NPI

Luke Williams

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1740648070
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
550 Peachtree St NE
Davis Fischer Building Office 3245a
Atlanta, GA 30308-2212
Phone
(801) 643-4970
NPI assigned
Feb 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006691 CO
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

550 Peachtree St NE
Davis Fischer Building Office 3245a
Atlanta, GA 30308-2212

Mailing address

550 Peachtree St NE
Davis Fischer Building Office 3245a
Atlanta, GA 30308-2212

Other practice location 1

1600 N Grand Ave Ste 508
Pueblo, CO 81003-2757
Phone (719) 595-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160502000769 GA Practitioner - Physician Assistant 1658670336 Reassigns benefits to 1 organization
I20210913002159 CO Practitioner - Physician Assistant 1658670336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

12905 W 40TH Ave
Wheat Ridge, CO 80401-2793

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006691COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 27, 2025 Accepting new patients
The Emory Clinic Inc CurrentSince Feb 28, 2016 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 27, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

12905 W 40th Ave
Ste 415
Golden, CO 80401
Phone (303) 265-5930

1600 N Grand Ave
Ste 508
Pueblo, CO 81003
Phone (719) 595-7040

3455 Lutheran Pkwy
Ste 280
Wheat Ridge, CO 80033
Phone (303) 403-6628

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: lwilliams186968@cityofhope.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1740648070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "DAVIS FISCHER BUILDING OFFICE 3245A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "DAVIS FISCHER BUILDING OFFICE 3245A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082212",
            "telephone_number": "801-643-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Grand Ave Ste 508",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032757",
            "country_code": "US",
            "telephone_number": "719-595-7040",
            "fax_number": "719-595-7045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006691",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.