Individual provider Active NPI

John A Williams, M.D.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1982694162
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9622 Issued in AL
Practice address
1758 Park PL
Montgomery, AL 36106-1133
Phone
(334) 264-9191
NPI assigned
Oct 27, 2005
Last updated
May 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9622 AL Primary

Addresses

Primary practice location

1758 Park PL
Montgomery, AL 36106-1133

Mailing address

1758 Park PL
Montgomery, AL 36106-1127
Phone (334) 264-9191

Other identifiers 2

IdentifierTypeStateIssuer
529800710MedicaidAL
77459OtherALBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120127000789 AL Practitioner - Cardiovascular Disease (Cardiology) 4789764374 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9622ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medvision, L.L.C. CurrentSince Jan 1, 2018 Accepting new patients
The Heart Center Cardiology, PC Specialist CurrentSince Jun 25, 2018 Accepting new patients
LV Stabler Primary Care LLC CurrentSince Apr 1, 2020 Accepting new patients
Cardiology Associates of Montgomery Specialist PastSince Oct 1, 2007 Accepting new patients

Locations

2375 Champions Blvd
Auburn, AL 36830
Phone (334) 745-6447

300 N College St
Greenville, AL 36037
Phone (334) 382-2681

3560 Atlanta Hwy
Ste A
Montgomery, AL 36109

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4384/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.williams@direct.baptistfirst.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1982694162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061127",
            "telephone_number": "334-264-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061133",
            "telephone_number": "334-264-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "9622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529800710",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "77459",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.