Individual provider Active NPI

Ashley Denise Williams, DPM

  • Podiatrist
  • Charleston, SC
National Provider Identifier
1851725824
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
645 Issued in SC
Practice address
1012 Physicians Dr
Charleston, SC 29414-5719
Phone
(843) 571-0602
Fax
(843) 571-0605
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PR 298 FL
Podiatrist 213E00000X 645 SC Primary

Addresses

Primary practice location

1012 Physicians Dr
Charleston, SC 29414-5719

Mailing address

1012 Physicians Dr
Charleston, SC 29414-5719
Phone (843) 571-0602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207000155 SC Practitioner - Podiatry 5193025666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Feet of SC LLCGroup PAC ID 8224457502, 10 clinicians

Practice addresses (Care Compare)

218 Granito Dr
Greer, SC 29650-2771
Phone (248) 528-2116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1843
Removal or shaving of skin growth61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR 298FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
360Care LLC Podiatrist CurrentSince Feb 3, 2020 Accepting new patients
360Care LLC CurrentSince Feb 3, 2020 Accepting new patients
Healthy Feet of SC LLC Podiatrist CurrentSince Sep 4, 2020 Accepting new patients
Keyoka S Smith DPM LLC Past Accepting new patients

Locations

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: ashley.williams.p5@direct.360care.nextgenshare.com

Organizations & group practices 4

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1851725824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145719",
            "telephone_number": "843-571-0602",
            "fax_number": "843-571-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145719",
            "telephone_number": "843-571-0602",
            "fax_number": "843-571-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ASHLEY",
        "middle_name": "DENISE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PR 298",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.