Individual provider Active NPI

Joy Williams, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gaylord, MI
National Provider Identifier
1912959404
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
014667 Issued in MI
Practice address
825 N Center Ave
Gaylord, MI 49735-1592
Phone
(989) 731-2100
Fax
(801) 740-2847
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 014667 MI Primary

Addresses

Primary practice location

825 N Center Ave
Gaylord, MI 49735-1592

Mailing address

6357 Walker Rd NW
Rapid City, MI 49676-8506
Phone (231) 331-4776

Other identifiers 1

IdentifierTypeStateIssuer
700F960010OtherMIBLUE CROSS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040923001005 MI Practitioner - Emergency Medicine 4981672268 Reassigns benefits to 3 organizations
I20240705002973 TX Practitioner - Emergency Medicine 4981672268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014667MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Apr 1, 2024 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jul 1, 2024 Accepting new patients
Northwestern Michigan Emergency Physicians PC CurrentSince Sep 1, 2019 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Jul 1, 2024 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients

Locations

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1912959404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 WALKER RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496768506",
            "telephone_number": "231-331-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-2100",
            "fax_number": "801-740-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "014667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "700F960010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.