Active NPI
Carol Calhoun Williams, M.D.
- Neuromusculoskeletal Medicine & OMM Physician
- Gibson City, IL
National Provider Identifier
1750453858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 003-036087789
- Practice address
- 124 E 8TH St
Gibson City, IL 60936-1455 - Phone
- (217) 784-4220
- Fax
- (217) 784-4240
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 003-036087789 | IL | Primary |
Addresses
Primary practice location
124 E 8TH St
Gibson City, IL 60936-1455
Mailing address
PO Box 487
Gibson City, IL 60936-0487
Phone (217) 784-4220
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79927 | Other | IL | CARLE CLINIC |
| 080054331 | Other | IL | RAILROAD MEDICARE |
| 036087789 | Medicaid | IL | |
| 008184 | Other | IL | HAMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 21, 2016 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003-036087789 | IL | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1750453858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "GIBSON CITY",
"state": "IL",
"postal_code": "609360487",
"telephone_number": "217-784-4220",
"fax_number": "217-784-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E 8TH ST",
"city": "GIBSON CITY",
"state": "IL",
"postal_code": "609361455",
"telephone_number": "217-784-4220",
"fax_number": "217-784-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAROL",
"middle_name": "CALHOUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "IL",
"license": "003-036087789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARLE CLINIC",
"identifier": "79927",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080054331",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087789",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAMP",
"identifier": "008184",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gibson City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.