NPIMap

Individual provider Active NPI

Gregory Williams, D.O.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1780692012
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6722 Issued in FL
Practice address
1803 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Phone
(850) 386-8899
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6722 FL Primary

Addresses

Primary practice location

1803 Miccosukee Commons Dr
Tallahassee, FL 32308-5433

Mailing address

PO Box 12427
Tallahassee, FL 32317-2427
Phone (850) 297-0114

Other identifiers 1

IdentifierTypeStateIssuer
37504000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000598 FL Practitioner - Family Practice 2860536687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

3900 Esplanade Way
Tallahassee, FL 32311-0802
Phone (850) 431-3867

Hospital & facility affiliations

  • NHC Homecare Home health agency, Crawfordville, FL, CCN 107407
  • Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS6722FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Primary Care Associates, PA Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince May 1, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

3900 Esplanade Way
Tallahassee, FL 32311
Phone (850) 431-3867

1803 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 297-0114

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1780692012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-297-0114",
            "fax_number": "850-297-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 MICCOSUKEE COMMONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085433",
            "telephone_number": "850-386-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37504000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.