Organization Active NPI

Williams Family and Sports Medical

  • Family Medicine Physician
  • Farmington, MI
National Provider Identifier
1982887451
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101 011913 Issued in MI
Legal business name
WILLIAMS FAMILY AND SPORTS MEDICAL
Practice address
23366 Farmington Rd
Farmington, MI 48336-3102
Phone
(248) 476-3333
Fax
(248) 476-7123
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Joseph Lawson Williams, D.O.NPI 1073534491
Title
Member
Phone
(248) 476-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101 011913 MI Primary

Addresses

Primary practice location

23366 Farmington Rd
Farmington, MI 48336-3102

Mailing address

23366 Farmington Rd
Farmington, MI 48336-3102
Phone (248) 476-3333

Other identifiers 1

IdentifierTypeStateIssuer
856312964OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000573 MI Part B Supplier - Clinic/Group Practice 8123070166 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1032122Williams Family and Sports Medical Center PLC23366 Farmington Road, Farmington, MI 48336Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

23366 Farmington Rd
Farmington Hills, MI 48336
Phone (248) 476-3333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20547/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1982887451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23366 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-476-3333",
            "fax_number": "248-476-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23366 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363102",
            "telephone_number": "248-476-3333",
            "fax_number": "248-476-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY AND SPORTS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LAWSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-476-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101 011913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "856312964",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.