Individual provider Active NPI

Calvin Ryan Williams

  • Obstetrics & Gynecology Physician
  • Oak Ridge, TN
National Provider Identifier
1932664414
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0000005206 Issued in TN
Practice address
988 Oak Ridge Tpke Ste 140
Oak Ridge, TN 37830-6919
Phone
(865) 483-7415
NPI assigned
Feb 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0000005206 TN Primary

Addresses

Primary practice location

988 Oak Ridge Tpke Ste 140
Oak Ridge, TN 37830-6919

Mailing address

300 S Tulane Ave Apt 1203
Oak Ridge, TN 37830-6772
Phone (646) 647-0514

Other identifiers 1

IdentifierTypeStateIssuer
15885362OtherCAQH PROVIDER ID

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
I20230810002681 TN Practitioner - Obstetrics/Gynecology 0648632455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetric and Gyncologic Assocs of Oak RidgeGroup PAC ID 0941377253, 6 clinicians

Practice addresses (Care Compare)

988 Oak Ridge Tpke
Suite 140
Oak Ridge, TN 37830-6919
Phone 8654837415122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000005206TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetric & Gyncologic Assocs of Oak Ridge Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients

Locations

988 Oak Ridge Tpke
Ste 140
Oak Ridge, TN 37830
Phone (423) 483-7415

Interoperability endpoints

  • Direct secure messaging: calvin.williams@tn046.digichart.direct-ci.com

Organizations & group practices 1

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1932664414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S TULANE AVE APT 1203",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306772",
            "telephone_number": "646-647-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE STE 140",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306919",
            "telephone_number": "865-483-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CALVIN",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "0000005206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "15885362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.