Michael Tyelar Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD37798 Issued in TN

Practice address

404 S White St
Athens, TN 37303-4732

Phone

(423) 745-4322

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Locations

Interoperability endpoints

• Direct secure messaging: dr_michael_williams@yourcarecommunity.org

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.

• DX Mso, PLLC

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment NPD
• Well-Key Health, PLLC

  • Urgent Care Clinic/Center
  • Sevierville, TN
  • NPI 1114234382
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Copper Basin Community Hospital Inc.

  • Emergency Medicine Physician
  • Copperhill, TN
  • NPI 1437203155
  NPD (past)
• Emcare Physician Providers, Inc

  • Emergency Medicine Physician
  • Copperhill, TN
  • NPI 1992756787
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Morristown, TN
  • NPI 1598714826
  NPD (past)
• Englewood Medical Clinic

  • Family Medicine Physician
  • Englewood, TN
  • NPI 1316016660
  NPD (past)
• Woods Memorial Hospital

  • General Acute Care Hospital
  • Etowah, TN
  • NPI 1245212067
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1992781751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 HIGHWAY 39 E",
            "city": "ENGLEWOOD",
            "state": "TN",
            "postal_code": "373295362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S WHITE ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034732",
            "telephone_number": "423-745-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "TYELAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD37798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38893201",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080012905B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904043",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4155984",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Diane Whaley, PT
• Paula White, FNP-BC
• Joseph F Wilburn, LCSW
• Martin C Wilhelm, DDS
• Camelia Rae Williams, OTR
• Brianna Williamson
• Alexander Keith Williiams, DPT
• Allie Marie Wilson
• Sheila Carnes Wilson, LCSW
• Womens Center of East Tennessee PC

• Family Medicine Physician in Athens, TN
• Providers in Athens, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.