Individual provider Active NPI

Debra L Williams, DO

  • Psychiatry Physician
  • Huntsville, AL
National Provider Identifier
1992762231
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO 764 Issued in AL
Practice address
1015 Airport Rd SW Ste 204
Huntsville, AL 35802-1394
Phone
(256) 883-7031
Fax
(256) 883-7032
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO 764 AL Primary

Addresses

Primary practice location

1015 Airport Rd SW Ste 204
Huntsville, AL 35802-1394

Mailing address

1015 Airport Rd SW Ste 204
Huntsville, AL 35802-1394
Phone (256) 883-7031

Other practice location 1

5604 Fort Benton Way
Lawrence, KS 66049-4925
Phone (256) 714-0551

Other practice location 2

2851 S Parker Rd Ste 112
Aurora, CO 80014-2729
Phone (256) 714-0551

Other names 1

  • Debra Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20211007002582 KS Practitioner - Psychiatry 8022082254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Interpersonal Psychiatry LLCGroup PAC ID 9739310343, 15 clinicians

Practice addresses (Care Compare)

1045 E 23Rd St
Lawrence, KS 66046-5003
Phone (785) 393-6167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 764ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red 2 Black Consulting , LLC CurrentSince Sep 5, 2021 Accepting new patients
Interpersonal Psychiatry, LLC Psychiatry CurrentSince Sep 1, 2021 Accepting new patients

Locations

1015 Airport Rd SW
Ste 204
Huntsville, AL 35802
Phone (256) 883-7031

1045 E 23rd St
Lawrence, KS 66046
Phone (785) 727-0126

Organizations & group practices 2

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992762231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 AIRPORT RD SW STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021394",
            "telephone_number": "256-883-7031",
            "fax_number": "256-883-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 AIRPORT RD SW STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021394",
            "telephone_number": "256-883-7031",
            "fax_number": "256-883-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 Fort Benton Way",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494925",
            "country_code": "US",
            "telephone_number": "256-714-0551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 S Parker Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142729",
            "country_code": "US",
            "telephone_number": "256-714-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO 764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "WILLIAMS",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.