NPIMap

Organization Active NPI

Williams Medical Services, LLC

Doing business as Tide Wellness

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1780315440
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAMS MEDICAL SERVICES, LLC
Doing business as
Tide Wellness
Practice address
3835 Watermelon Rd Ste E
Northport, AL 35473-5003
Phone
(205) 331-4903
Fax
(205) 331-4914
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Dr. David L Williams, MD
Title
Owner
Phone
(205) 331-4903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3835 Watermelon Rd Ste E
Northport, AL 35473-5003

Mailing address

3835 Watermelon Rd Ste E
Northport, AL 35473-5003
Phone (205) 331-4903

Other names 1

  • Tide Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3835 Watermelon Rd
Northport, AL 35473

3835 Watermelon Rd
Ste D
Northport, AL 35473
Phone (205) 331-4904

3835 Watermelon Rd
Ste E
Northport, AL 35473
Phone (205) 331-4903

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1780315440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 WATERMELON RD STE E",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735003",
            "telephone_number": "205-331-4903",
            "fax_number": "205-331-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 WATERMELON RD STE E",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735003",
            "telephone_number": "205-331-4903",
            "fax_number": "205-331-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-331-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tide Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.