Vernon Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.076195 Issued in OH

Practice address

1460 S High St
Columbus, OH 43207-1047

Phone

(614) 445-7755

Fax

(614) 445-7238

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Vernon Williams, M.D., LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1639279722
  Medicare reassignment Authorized official
• Imtiaz Kazi Family Practice, Inc.

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1033249032
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1962500876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071047",
            "telephone_number": "614-725-1901",
            "fax_number": "614-725-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071047",
            "telephone_number": "614-445-7755",
            "fax_number": "614-445-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21386",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.076195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thalia Williams
• Theodore Williams, PH.D.
• Tiffany Arminta Williams
• Tracey Lynn Williams
• Tyanda Renee Williams
• Vonda Williams
• Whitney Williams, PT, DPT
• Yvonne M. Williams, COTA/L
• Zachary Christopher Williams
• Twyla Williamson-Jones, LSW

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.