MR. REGINALD A WILLIAMS (NPI# 1174692891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174692891 |
| Entity Type | Individual |
| Full Name | MR. REGINALD A WILLIAMS |
| Credential | MD |
| Practice Address |
113 Colonial Way Jesup GA 31545-0245 |
| Mailing Address |
Po Box 467 Jesup GA 31598-0467 |
| Practice Telephone | 9124279169 |
| Practice Fax Number | 9124279171 |
| Mailing Telephone | 9124279169 |
| Mailing Fax Number | 9124279171 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 055788 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 37487 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64061377 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255604963 | Reginald D Williams Sr. | Specialist/Technologist, Other | 440 Pinevale Ct, College Park, GA 30349-7987 | 2012-02-13 |
| 1205374204 | Reginald Williams Jr. | Rehabilitation Practitioner | 3085 S Jones Blvd, Suite D, Las Vegas, NV 89146-6782 | 2017-02-09 |
| 1528444692 | Reginald Williams | Pharmacist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2015-07-30 |
| 1457787210 | Reginald Williams | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2013-09-24 |
| 1073885240 | Reginald L Williams | Nurse Practitioner | 570 W 204th St, New York, NY 10034-4008 | 2012-02-03 |
| 1225014632 | Reginald Gaylord Williams Jr. | Family Medicine | 94180 2nd St, Gold Beach, OR 97444-8733 | 2005-12-16 |
| Street Address |
113 COLONIAL WAY |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437409331 | Karen E. Bamberg | Nurse Practitioner | 113 Colonial Way, Jesup, GA 31545-0122 | 2012-09-18 |
| 1902152200 | Southwest Surgical Associates, P.C. | Surgery | 113 Colonial Way, Jesup, GA 31545-0122 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255564035 | David L Rainiero, M.d., P.C. | Surgery | 311 Peachtree St, Jesup, GA 31545-0245 | 2009-08-27 |
| 1235167099 | Quynhanh H Pham | Surgery | 144 W Cherry St, Jesup, GA 31545-1309 | 2006-06-29 |
| 1043696784 | Pham General Surgery, P.C. | Surgery | 144 W Cherry St, Jesup, GA 31545-1309 | 2015-08-05 |
| 1730506338 | Tattnall Hospital Company, LLC | Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2014-03-21 |
| 1902152200 | Southwest Surgical Associates, P.C. | Surgery | 113 Colonial Way, Jesup, GA 31545-0122 | 2012-07-24 |
| 1043577364 | Southwest Surgical Associates, P.C. | Surgery | 311 Peachtree St, Jesup, GA 31545-0245 | 2012-04-12 |
| 1164726659 | Robert M Patacsil Do PC | Surgery | 311 Peachtree St, Jesup, GA 31545-0245 | 2010-12-27 |
| 1720392129 | Southwest Surgical Associates, PC | Surgery | 311 Peachtree St, Jesup, GA 31545-0245 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| 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.