Individual provider Active NPI

Mariaah Williams, M.D.

  • Family Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1881074763
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21809 Issued in FL
Practice address
201 N Clyde Morris Blvd
Suite 200
Daytona Beach, FL 32114-2724
Phone
(386) 254-4165
Fax
(386) 254-4339
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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 21809 FL Primary

Addresses

Primary practice location

201 N Clyde Morris Blvd
Suite 200
Daytona Beach, FL 32114-2724

Mailing address

148 Tarracina Way
Daytona Beach, FL 32117-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181023002261 FL Practitioner - Family Practice 3072825157 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21809FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Dec 3, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 3, 2020 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Apr 20, 2021 Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

1600 Budinger Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 826-3006

3356 Canoe Creek Rd
Saint Cloud, FL 34772
Phone (407) 891-2992

Interoperability endpoints

  • Direct secure messaging: mwilliams179065@orlandohealth.medalliesdirect.net

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1881074763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TARRACINA WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLYDE MORRIS BLVD",
            "address_2": "SUITE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142724",
            "telephone_number": "386-254-4165",
            "fax_number": "386-254-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARIAAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "21809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.