DR. JOHNNY LEE WILLIAMS (NPI# 1972697746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972697746 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY LEE WILLIAMS |
| Credential | M.D. |
| Practice Address |
825 Gum Branch Rd Suite 121 Jacksonville NC 28540-6298 |
| Mailing Address |
Po Box 12033 Jacksonville NC 28546-2033 |
| Practice Telephone | 9103330551 |
| Practice Fax Number | 9109380900 |
| Mailing Telephone | 9103330551 |
| Mailing Fax Number | 9109380900 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
20584 | NC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 20584 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8987700 | 05 | |
| NC | MEDICAL LICENSE | 20584 | 01 |
| NC | CLIA | 34D0944653 | 01 |
| NC | DEA NUMBER | AW1822267 | 01 |
| NC | UNITED HEALTHCARE | 0728888 | 01 |
| NC | BCBSNC | 87700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881250173 | Johnny Johnson Williams Jr. | In Home Supportive Care | 5817 Ensenada Rd, Jacksonville, FL 32244-1712 | 2019-05-13 |
| 1528470309 | Johnny Williams | Dentist | 2580 Cobbs Ford Rd, Prattville, AL 36066-7749 | 2014-05-28 |
| 1316561426 | Johnny Blake Williams | Audiologist | 1201 E 9th St, Bonham, TX 75418-4059 | 2020-06-04 |
| 1457848053 | Johnny Lee Williams II | Health Educator | 2625 S Colorado Blvd, Denver, CO 80222-5910 | 2018-04-18 |
| 1730636333 | Johnny Williams | Counselor | 260 Northland Blvd, Cincinnati, OH 45246-4917 | 2016-09-01 |
| 1023424728 | Johnny Williams | Registered Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2014-07-02 |
| 1295156321 | Johnny Williams I | Counselor | 826 Mahler Rd, Burlingame, CA 94010-1604 | 2013-12-16 |
| 1073768701 | Johnny L Williams | Counselor | 959 N La Brea Ave, Inglewood, CA 90302-2207 | 2008-11-21 |
| 1992759641 | Johnny W Williams | Ophthalmology | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1177 | 2006-05-19 |
| Street Address |
825 GUM BRANCH RD SUITE 121 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469126 | John Andraos Shalhoub | Counselor | 825 Gum Branch Rd, Ste 122, Jacksonville, NC 28540-6298 | 2005-12-28 |
| 1649559667 | Leeanna Rice | Social Worker | 825 Gum Branch Rd, Suite 117, Jacksonville, NC 28540-6298 | 2011-08-08 |
| 1841501368 | Cnc Access, Inc. | Case Management | 825 Gum Branch Rd, Ste 133, Jacksonville, NC 28540-6298 | 2010-06-30 |
| 1972747806 | Cnc/access, Inc. | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-22 |
| 1558504100 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1194968743 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1720221377 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 136, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1649413295 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1104069194 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-07 |
| 1184806283 | Professional Physical Therapy & Rehabilitation, LLC | Clinic/Center | 825 Gum Branch Rd, Suite 127, Jacksonville, NC 28540-6298 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on DR. JOHNNY LEE WILLIAMS.
| 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.