MR. DENNIS DEMETRIUS WILLIAMS (NPI# 1841728755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841728755 |
| Entity Type | Individual |
| Full Name | MR. DENNIS DEMETRIUS WILLIAMS |
| Credential | MA,ATC,LAT,PES,CES |
| Practice Address |
1179 Madison Green Dr Fort Mill SC 29715 |
| Mailing Address |
1179 Madison Green Dr Fort Mill SC 29715-8321 |
| Practice Telephone | 8645258821 |
| Mailing Telephone | 8645258821 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0604 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | SPORTS MEDICINE | 207PS0010X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184006470 | Dennis Williams | Registered Nurse | 2866 Maxwell Rd, Autryville, NC 28318-8771 | 2015-06-23 |
| 1881897197 | Dennis E Williams | Counselor | 607 E Washington Ave, Riverton, WY 82501-4424 | 2007-06-06 |
| 1982806667 | Dennis James Williams | Pathology | Uk Medical Center 800 Rose Street Ms 117, Lexington, KY 40536-0298 | 2007-06-04 |
| 1932324365 | Dennis Michael Williams | Pharmacist | Beard Hall Cb#7360, University of North Carolina, Chapel Hill, NC 27599-7360 | 2007-04-13 |
| 1093715955 | Dennis Williams | Family Medicine | 1381 Reservoir Ave, Bridgeport, CT 06606 | 2005-07-21 |
| 1235131525 | Dennis A Williams | Physical Medicine & Rehabilitation | 4409 Evans To Locks Rd, Evans, GA 30809-3603 | 2005-06-01 |
| 1689043861 | Dennis Williams | Counselor | 1124 Baker St, Bakersfield, CA 93305-4322 | 2015-09-17 |
| 1194140087 | Dennis Williams | Massage Therapist | 1873 Lincoln Hwy E, Lancaster, PA 17602-3398 | 2014-02-28 |
| 1427379379 | Dennis Ray Williams Jr. | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2010-06-15 |
| 1336364678 | Dennis Williams | Podiatrist | 201 E Market St, Jeffersonville, IN 47130-3362 | 2007-04-13 |
| Street Address |
1179 MADISON GREEN DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| 1639455488 | Nametris Blount | Counselor | 118 Academy Street, Fort Mill, SC 29715 | 2011-10-25 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| 1164740197 | Elizabeth A Jarrett | Specialist/Technologist | 937 Hickory Stick Dr, Fort Mill, SC 29715-6931 | 2010-05-14 |
| 1912024670 | Alice J. Mclaine | Specialist/Technologist | 600 E Cheval Dr, Fort Mill, SC 29708-6956 | 2007-03-26 |
| 1114954724 | Benjamin Merritt | Specialist/Technologist | 225 Munn Rd E, Fort Mill, SC 29715-9497 | 2006-06-27 |
| 1336138569 | Scott Charles Johnson | Specialist/Technologist | 2280 Deerfield Dr, Fort Mill, SC 29715-6941 | 2005-10-20 |
| 1649535923 | Mary Runyon | Specialist/Technologist | 225 Munn Rd E, Fort Mill, SC 29715-9497 | 2012-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869563 | Brandon Lundin | Specialist/Technologist | 259 Dorchester Manor Blvd, North Charleston, SC 29420-8107 | 2020-10-21 |
| 1578160123 | Emma Faith Cornell | Specialist/Technologist | 9345 Blue House Rd, Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1750988309 | Kirstyn Owen | Specialist/Technologist | 9345 Blue House Rd Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1902418106 | Kelli Brianna Adams | Specialist/Technologist | 12 He Mccracken Cir, Bluffton, SC 29910-5866 | 2020-08-19 |
| 1770195208 | Chely Mckoy | Specialist/Technologist | 126 Tidwell Ln, Swansea, SC 29160-8348 | 2020-08-17 |
| 1922610500 | Alexis Lauren Elrod | Specialist/Technologist | 907 Wesleyan Dr, Central, SC 29630-9748 | 2020-08-17 |
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| 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.