Individual provider Active NPI

Melita Joyce Williams, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1750383618
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4176 Issued in TX
Practice address
3028 Communications Pkwy Ste 200
Plano, TX 75093-8908
Phone
(214) 225-6416
Fax
(469) 929-9897
NPI assigned
Aug 11, 2005
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.200657 LA
Family Medicine Physician 207Q00000X L4176 TX Primary

Addresses

Primary practice location

3028 Communications Pkwy Ste 200
Plano, TX 75093-8908

Mailing address

3028 Communications Pkwy Ste 200
Plano, TX 75093-8908
Phone (214) 225-6416

Other practice location 1

4924 Greenville Ave Ste 100
Dallas, TX 75206-4039
Phone (214) 225-6416

Other identifiers 1

IdentifierTypeStateIssuer
1706281MedicaidLA

Other names 1

  • Dr. Melita Joyce Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190412000601 TX Order and Referring Only - Family PracticePractitioner - Family Practice 9830193093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.200657LAMDFamily Medicine Physician
L4176TXMDFamily Medicine Physician
200657LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Holistic Health, PLLC Family Medicine CurrentSince Aug 28, 2021 Accepting new patients

Locations

4924 Greenville Ave
Ste 100
Dallas, TX 75206
Phone (214) 225-6416

3028 Communications Pkwy
Ste 200
Plano, TX 75093
Phone (214) 225-6416

6010 W Spring Creek Pkwy
Plano, TX 75024
Phone (469) 626-8043

Interoperability endpoints

  • Direct secure messaging: melita.williams@417447558381572.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1750383618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 COMMUNICATIONS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938908",
            "telephone_number": "214-225-6416",
            "fax_number": "469-929-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 COMMUNICATIONS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938908",
            "telephone_number": "214-225-6416",
            "fax_number": "469-929-9897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4924 Greenville Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752064039",
            "country_code": "US",
            "telephone_number": "214-225-6416",
            "fax_number": "469-929-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELITA",
        "middle_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.200657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706281",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELITA",
            "last_name": "PHILLIPS",
            "middle_name": "JOYCE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.