Individual provider Active NPI

Robert McLain Williams, MD

  • Family Medicine Physician
  • Opp, AL
National Provider Identifier
1801897269
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00013653 Issued in AL
Practice address
103 E Memorial Ave
Physicians Office Building
Opp, AL 36467-1704
Phone
(334) 493-7930
Fax
(334) 493-3384
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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 00013653 AL Primary
Family Medicine Physician 207Q00000X M-8671 ID

Addresses

Primary practice location

103 E Memorial Ave
Physicians Office Building
Opp, AL 36467-1704

Mailing address

103 E Memorial Ave
Physicians Office Building
Opp, AL 36467-1704
Phone (334) 493-7930

Other identifiers 1

IdentifierTypeStateIssuer
000017551MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050118000297 AL Practitioner - Family PracticePractitioner - Emergency Medicine 3476517871 Reassigns benefits to 1 organization
Practice locations: Florala, AL; Opp, AL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00013653ALMDFamily Medicine Physician
M-8671IDMDFamily Medicine Physician

Practice roles (5 of 11)

OrganizationSpecialtyStatusNew patients
Mizell Memorial Hospital, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Mizell Memorial Hospital, Inc. Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Mizell Memorial Hospital, Inc. Current Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Geneva Emergency Physicians LLC Past Accepting new patients

Locations

103 E Memorial Ave
#B
Opp, AL 36467
Phone (334) 493-7930

702 N Main St
Opp, AL 36467
Phone (334) 493-2342

103 E Memorial Ave
Ofc
Opp, AL 36467
Phone (334) 493-7930

Networks

  • bcbs alabama network 01C0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0
  • bcbs alabama network 01G0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1801897269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MEMORIAL AVE",
            "address_2": "PHYSICIANS OFFICE BUILDING",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671704",
            "telephone_number": "334-493-7930",
            "fax_number": "334-493-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MEMORIAL AVE",
            "address_2": "PHYSICIANS OFFICE BUILDING",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671704",
            "telephone_number": "334-493-7930",
            "fax_number": "334-493-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "MCLAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00013653",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000017551",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

Verify at the official NPI Registry.