Individual provider Active NPI

Kenneth Lamont Williams, M.D., PH.D.

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1902062391
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46286 Issued in TN
Practice address
345 Compton Rd
Murfreesboro, TN 37130-1352
Phone
(615) 579-2772
Fax
(615) 327-4608
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 46286 TN Primary

Addresses

Primary practice location

345 Compton Rd
Murfreesboro, TN 37130-1352

Mailing address

PO Box 292878
Nashville, TN 37229-2878
Phone (615) 579-2772

Other practice location 1

250 Arrowood Dr
Clarksville, TN 37042-5186
Phone (615) 579-2772

Other practice location 2

2865 E Main St
Humboldt, TN 38343-3070
Phone (615) 579-2772

Other practice location 3

3425 Knight Dr
Whites Creek, TN 37189-9189
Phone (615) 579-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110203000577 TN Practitioner - Family Practice 8921288242 Practice locations: Nashville, TN

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1902062391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292878",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372292878",
            "telephone_number": "615-579-2772",
            "fax_number": "866-577-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COMPTON RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301352",
            "telephone_number": "615-579-2772",
            "fax_number": "615-327-4608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Arrowood Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370425186",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 E Main St",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383433070",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Knight Dr",
            "address_purpose": "LOCATION",
            "city": "Whites Creek",
            "state": "TN",
            "postal_code": "371899189",
            "country_code": "US",
            "telephone_number": "615-579-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.