NPIMap

Individual provider Active NPI

Don E Williamson, MD

  • Nephrology Physician
  • Augusta, GA
National Provider Identifier
1912984790
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
034079 Issued in GA
Practice address
820 St. Sebastian Way
Suite 8a
Augusta, GA 30901
Phone
(706) 722-6900
Fax
(706) 722-5118
NPI assigned
Dec 22, 2005
Last updated
Dec 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 034079 GA Primary
Nephrology Physician 207RN0300X 30727 SC

Addresses

Primary practice location

820 St. Sebastian Way
Suite 8a
Augusta, GA 30901

Mailing address

820 St. Sebastian Way
Suite 8a
Augusta, GA 30901
Phone (706) 722-6900

Other identifiers 20

IdentifierTypeStateIssuer
000535719AOMedicaidGA
000535719NMedicaidGA
338219OtherGAWELLCARE
G34079MedicaidSC
000535719APMedicaidGA
000535719RMedicaidGA
1912984790OtherGABLUE CROSS BLUE SHIELD
000535719ALMedicaidGA
000535719ARMedicaidGA
000535719ASMedicaidGA
000535719PMedicaidGA
000535719AKMedicaidGA
000535719AQMedicaidGA
000535719ATMedicaidGA
000535719MMedicaidGA
000535719QMedicaidGA
390002661OtherGARAILROAD MEDICARE
000535719AAMedicaidGA
000535719HMedicaidGA
10058001OtherGAAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000530 GA Practitioner - Nephrology 8921915745 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034079GAMDNephrology Physician
30727SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Mountain Dialysis LLC PastSince Sep 19, 2017 Accepting new patients
Central Kittanning Dialysis Center LLC PastSince Sep 19, 2017 Accepting new patients
Howard University Dialysis Center LLC PastSince Mar 27, 2019 Accepting new patients
Ellicott Kidney Center LLC PastSince Jun 11, 2019 Accepting new patients
Arlington Dialysis Center LLC PastSince Sep 19, 2017 Accepting new patients
Detroit Kidney Center LLC PastSince Sep 19, 2017 Accepting new patients
Hawthorn Kidney Center LLC PastSince Sep 19, 2017 Accepting new patients
Palmetto Dialysis Center LLC PastSince Mar 27, 2019 Accepting new patients
Ara-Adelphi LLC PastSince Sep 19, 2017 Accepting new patients
Central Columbia Kidney Center LLC PastSince Sep 19, 2017 Accepting new patients
Langhorne Dialysis LLC PastSince Mar 27, 2019 Accepting new patients
University Kidney Center Bluegrass LLC PastSince Mar 27, 2019 Accepting new patients
Palm Springs Dialysis Center LLC PastSince Sep 19, 2017 Accepting new patients

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1912984790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY",
            "address_2": "SUITE 8A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-6900",
            "fax_number": "706-722-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY",
            "address_2": "SUITE 8A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-722-6900",
            "fax_number": "706-722-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "DON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "034079",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "30727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AO",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719N",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "338219",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G34079",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AP",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719R",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1912984790",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AL",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AR",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AS",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AK",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AQ",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AT",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719Q",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390002661",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719AA",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000535719H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10058001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.