MR. SHAWN RAY WILLIAMS (NPI# 1336167600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336167600 |
| Entity Type | Individual |
| Full Name | MR. SHAWN RAY WILLIAMS |
| Credential | D.O |
| Practice Address |
311 Jones Mill Rd Statesboro GA 30458-4765 |
| Practice Telephone | 9127646236 |
| Practice Fax Number | 9127647063 |
| Mailing Telephone | 9127646236 |
| Mailing Fax Number | 9127647063 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
066841 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633771 | Shawn Brian Williams | Adult Companion | 4791 Edna Dr, New Franklin, OH 44203-4701 | 2020-09-10 |
| 1740828821 | Shawn Bynum Williams | Private Vehicle | 5601 Roanoke Ave, Newport News, VA 23605-2002 | 2019-12-19 |
| 1447714092 | Shawn Nichole Williams | Behavioral Analyst | 2122 N 58th St, Philadelphia, PA 19131-3009 | 2019-01-29 |
| 1457586489 | Shawn M. Williams | Licensed Practical Nurse | 3591 Beacon Dr, Beachwood, OH 44122-6006 | 2009-05-20 |
| 1164602108 | Shawn Catrise Williams | Technician | 2045 Sw 70th Ter, Gainesville, FL 32607-3770 | 2007-11-07 |
| 1245431774 | Shawn P Williams | Chiropractor | 211 Bellevue Ave, Suite 206, Montclair, NJ 07043-1820 | 2007-05-31 |
| 1316029713 | Shawn K Williams | Speech-Language Pathologist | 4705 109th Pl, Lubbock, TX 79424-7323 | 2006-10-19 |
| 1184686412 | Shawn Alan Williams | Physical Therapist | 606 Executive Park, Louisville, KY 40207-4206 | 2006-04-03 |
| 1639162357 | Shawn M Williams | Specialist | 34406 N 27th Dr, Ste 140, Phoenix, AZ 85085-6079 | 2005-08-29 |
| 1801393830 | Shawn Marie Williams | Pedorthist | 1900 Clinton Ave S Ste 5, Rochester, NY 14618-5621 | 2018-04-06 |
| Street Address |
311 JONES MILL RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-4765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771159 | Claire Tucker | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2020-08-17 | |
| 1942675491 | Jason Evans | Physician Assistant | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2015-12-09 |
| 1013131598 | Robert Wayne Mooney | Psychiatry & Neurology | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2007-04-13 |
| 1174682546 | Willingway, Inc. | Special Hospital | 311 Jones Mill Rd, Statesboro, GA 30458-4765 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669026837 | Barry Howard Lubin | Internal Medicine | 1150 Collier Rd Nw Apt H20, Atlanta, GA 30318-2938 | 2019-07-26 |
| 1558887018 | Miguel E. Stubbs, Md PC | Internal Medicine | 4760 Austell Rd Ste 1, Austell, GA 30106-2007 | 2017-08-16 |
| 1760401756 | Kimberlynn R Richards | Internal Medicine | 3634 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-07-19 |
| 1245748771 | Emanuel Counseling Services, Inc | Internal Medicine | 105 Warren Ave, Swainsboro, GA 30401-3645 | 2018-01-18 |
| 1295288124 | Peach Medical Systems Associates LLC | Internal Medicine | 4500 N Point Pkwy, Alpharetta, GA 30022-2409 | 2016-07-27 |
| 1437502143 | Whole and Healthy Youth, LLC | Internal Medicine | 3200 Highlands Pkwy Se, Suite 400, Smyrna, GA 30082-5166 | 2016-07-18 |
| 1356797666 | Mat Georgia, LLC | Internal Medicine | 335 Roselane St Nw, Suite 203, Marietta, GA 30060-7902 | 2016-05-05 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| 1275945909 | Alisha Goodrum | Internal Medicine | 101 Quartz Dr Ste 201, Villa Rica, GA 30180-3256 | 2014-05-29 |
| 1659537165 | Emory Medical Care Foundation Inc | Internal Medicine | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.