Roger Gale Williams II, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3326 Issued in TN

Practice address

121 N Commerce St Ste 212
Johnson City, TN 37604-4712

Phone

(423) 220-6039

NPI assigned

Oct 28, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spinal Corrective CtrGroup PAC ID 9931592219, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spinal Corrective Ctr

  dba Spinal Corrective Center

  • Chiropractor
  • Johnson City, TN
  • NPI 1093336448
  Medicare reassignment Care Compare group NPD
• DRB Consulting Services, LLC

  • Chiropractor
  • Johnson City, TN
  • NPI 1518583731
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1790385888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N COMMERCE ST STE 212",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044712",
            "telephone_number": "423-220-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N COMMERCE ST STE 212",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044712",
            "telephone_number": "423-220-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROGER",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry J. Williams, MD
• Janet Williams, FNP-BC
• Judy A Williams
• Mark A Williams, MD
• Mary Whiteside Williams, RN.
• Wesley Williams, LADAC, LMSW
• William Turney Williams, M.D.
• Clifford G Williamson, MD
• Jala Kathleen Williamson
• Courtney S Willis, FNP

• Chiropractor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.