CODY WILLIAMS (NPI# 1124425376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124425376 |
Entity Type | Individual |
Full Name | CODY WILLIAMS |
Practice Address |
2198 Old Groveland Rd Pembroke GA 31321-3322 |
Practice Telephone | 7604451924 |
Mailing Telephone | 7604451924 |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1821560517 | Cody Richard Williams | Behavior Technician | 2720 Riverside Dr, Port Huron, MI 48060-2653 | 2018-12-19 |
1528356748 | Cody Williams | Physician Assistant | 426 Collinsburg Rd, West Newton, PA 15089-1271 | 2011-07-21 |
1194899146 | Cody L Williams | Chiropractor | 750 2nd Ave, Monte Vista, CO 81144-1447 | 2006-11-20 |
1124651468 | Cody Williams | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913-6456 | 2020-02-14 |
1376003145 | Cody Williams | Student in an Organized Health Care Education/Training Program | 740 S Limestone Room C301, Lexington, KY 40536-0001 | 2019-03-20 |
1689154221 | Cody Williams | Speech-Language Pathologist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2018-08-14 |
1265928329 | Cody Williams | Occupational Therapy Assistant | 7350 Dairy Rd, Zephyrhills, FL 33540-1354 | 2018-07-02 |
1306355029 | Cody Williams | Counselor | 201 22nd St, Ashland, KY 41101-7803 | 2017-09-26 |
1548626625 | Cody Williams | Counselor | 1492 S Silicon Way Ste A, St George, UT 84770-7156 | 2016-01-05 |
Street Address |
2198 OLD GROVELAND RD |
City | PEMBROKE |
State | GA |
Zip Code | 31321-3322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
1356539894 | Kristen Altman | Physical Therapist | 205 East Bacon Steet, Pembroke, GA 31321 | 2007-10-10 |
1366573297 | Malken Pharm Services Inc | Pharmacy | 137 E. Bacon St, Pembroke, GA 31321 | 2007-03-09 |
1184753709 | Gateway Behavioral Health Services | Community/Behavioral Health | 40 E Industrial Blvd, Pembroke, GA 31321 | 2007-03-02 |
1972611663 | Bryan County Emergency Medical Service | Ambulance | 116 Lanier Street, Pembroke, GA 31321 | 2006-08-25 |
1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
1003265836 | Harley Hendrix | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321 | 2016-06-13 |
1760886402 | Sharon Estill | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
Find all providers in zip 31321 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033639752 | Ryan Charles Romer | Military Health Care Provider | 814 Radford Blvd Ste 20328, Albany, GA 31704-1130 | 2017-06-23 |
1295105773 | Christopher Lamar Davis | Military Health Care Provider | 3665 Cherry Ridge Blvd, Decatur, GA 30034-5011 | 2015-09-28 |
1851625370 | Holistic Approach Wellness Center | Military Health Care Provider | 5744 Austell Powder Springs Rd, Austell, GA 30106-3231 | 2009-09-30 |
1275717092 | Michael Arnez Leggett | Military Health Care Provider | 1063 Uss Georgia Ave, Commander Submarine Group Ten, Kings Bay, GA 31558-2626 | 2007-12-28 |
1023291788 | Jay D Carson | Military Health Care Provider | 1050 Uss Gerogia Ave, Kings Bay, GA 31547 | 2007-12-17 |
1194904847 | George Gleason Sweeney IIi | Military Health Care Provider | 143 Laurel Marsh Way, Kingsland, GA 31548-6192 | 2007-10-30 |
1508045550 | Hubert Williams | Military Health Care Provider | 814 Radford Blvd Bldg 7000, Albany, GA 31704-9998 | 2007-10-26 |
1568651321 | Westley Michael Durnell | Military Health Care Provider | 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 | 2007-10-17 |
1013127497 | Cory Dean Sant | Military Health Care Provider | Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 | 2007-05-23 |
1225156441 | David Michael Holt | Military Health Care Provider | 341 Creekside Dr, Saint Marys, GA 31558-4485 | 2007-03-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.