Mercedes Merritt Williams, DBH, MPH, IPEC, LMSW

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

28315 Issued in IN

Practice address

3182 Berthas Overlook
Douglasville, GA 30135-8458

Phone

(678) 310-9707

NPI assigned

Sep 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Populations and Interventions Team Company

  • Health Psychologist
  • Douglasville, GA
  • NPI 1730608522
  Medicare reassignment NPD Authorized official
• Populations and Interventions Team Company

  • Clinical Psychologist
  • Anniston, AL
  • NPI 1528587367

  Group Psychotherapy

  NPD Authorized official
• Populations and Interventions Team Company (Pitc)

  • Rehabilitation Counselor
  • Douglasville, GA
  • NPI 1184143042
  NPD (past) Authorized official
• Populations and Interventions Team Company (Pitc)

  • Public Health & General Preventive Medicine Physician
  • Douglasville, GA
  • NPI 1285144568
  NPD (past) Authorized official
• Populations and Interventions Team Company (Pitc)

  • Research Study Specialist
  • Douglasville, GA
  • NPI 1285153122
  NPD (past) Authorized official
• Populations and Interventions Team Company (Pitc)

  • Behavior Analyst
  • Douglasville, GA
  • NPI 1700305646
  NPD (past) Authorized official
• Populations and Interventions Team Company (Pitc)

  • Case Management Agency
  • Douglasville, GA
  • NPI 1730557729

  Public Health & General Preventive Medicine

  NPD (past) Authorized official
• Populations and Interventions Team Company (Pitc)

  • Cognitive & Behavioral Psychologist
  • Douglasville, GA
  • NPI 1992224869
  NPD (past) Authorized official

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

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952820086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 BERTHAS OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358458",
            "telephone_number": "678-310-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 BERTHAS OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358458",
            "telephone_number": "678-310-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MERCEDES",
        "middle_name": "MERRITT",
        "name_prefix": "Dr.",
        "credential": "DBH, MPH, IPEC, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-09",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "40044",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IN",
            "license": "28315",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IN",
            "license": "28315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ray Williams, DO
• Jennifer Williams, MPT
• Jim Gill Williams, DMD
• John D Williams, P.T.
• Lillian Washington Williams, CNS, FNP-BC
• Renee Michele Williams
• Shaquanta Belonda Williams
• Tamekis Williams, MSW, LCSW
• Tekisha Williams, FNP
• Tydasia Williams, RBT

• Public Health & General Preventive Medicine Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Public Health & General Preventive Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.