Individual provider Active NPI

Johnny W Williams, MD

  • Ophthalmology Physician
  • Mayfield, KY
National Provider Identifier
1992759641
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27423 Issued in KY
Practice address
214 N 9TH Street
Mayfield, KY 42066-1833
Phone
(270) 356-1138
Fax
(270) 356-1139
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 27423 KY Primary

Addresses

Primary practice location

214 N 9TH Street
Mayfield, KY 42066-1833

Mailing address

PO Box 83
Mayfield, KY 42066-1833
Phone (270) 356-1138

Other identifiers 2

IdentifierTypeStateIssuer
000000207063OtherKYANTHEM
64274236MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100602001038 KY Practitioner - Ophthalmology 4981733870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 N 9TH St
Mayfield, KY 42066-1833
Phone (270) 356-1138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Family Eye Care Inc Ophthalmology CurrentSince Apr 20, 2010 Accepting new patients

Locations

1029 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

214 N 9th St
Mayfield, KY 42066
Phone (270) 356-1138

1029 Medical Center Cir
Ste 200
Mayfield, KY 42066
Phone (270) 251-4545

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1992759641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661833",
            "telephone_number": "270-356-1138",
            "fax_number": "270-356-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N 9TH STREET",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661833",
            "telephone_number": "270-356-1138",
            "fax_number": "270-356-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHNNY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "27423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000207063",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64274236",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.