MR. JOHN RICHARD WILLIAMS JR. (NPI# 1326661968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326661968 |
| Entity Type | Individual |
| Full Name | MR. JOHN RICHARD WILLIAMS JR. |
| Credential | CFO, MT |
| Practice Address |
2804 N Oak St Ste C Valdosta GA 31602-5913 |
| Practice Telephone | 2292418925 |
| Practice Fax Number | 2292417672 |
| Mailing Telephone | 2292418925 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT011499 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091449 | John Williams | Home Health Aide | 2852 23rd Pl Se Apt 304, Washington, DC 20020-7961 | 2020-10-23 |
| 1073130704 | John Warren Williams | Counselor | 1801 Abercorn St, Savannah, GA 31401-8121 | 2020-06-29 |
| 1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1942797477 | John Matthew Williams | Student in an Organized Health Care Education/Training Program | 152 Edmonds Way, Clarksville, TN 37043-7422 | 2018-04-19 |
| 1427555424 | John R Williams | Counselor | 338 3rd St Apt 2, Clifton, NJ 07011-3253 | 2018-04-07 |
| 1750756748 | John Williams | Counselor | 200 Lakeview Dr Apt 2807, Natchitoches, LA 71457-5572 | 2015-12-02 |
| 1336536200 | John Ross Williams | Student in an Organized Health Care Education/Training Program | 325 9th Ave Dept Of, Box 359924, Seattle, WA 98104-2420 | 2015-04-18 |
| 1285033621 | John David Williams | Dentist | 5305 W Village Pkwy Ste 12, Rogers, AR 72758-8116 | 2014-08-21 |
| 1982003554 | John Hyde Williams | Family Medicine | 502 Glen Arbor Ln, Grosse Pointe Woods, MI 48236-1506 | 2014-08-19 |
| Street Address |
2804 N OAK ST STE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306125174 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2011-08-11 |
| 1336754274 | Flora Virginia Eleace Gatewood | Physical Therapist | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2020-09-08 |
| 1588214597 | Denise Fields, Rdn, LLC | Dietitian, Registered | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2019-09-12 |
| 1023532280 | Nathan Kelly Roberson | Nurse Practitioner | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2017-07-31 |
| 1699142661 | Daniel Day | Chiropractor | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2015-08-26 |
| 1457695058 | Joshua T Rhue | Physical Therapist | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2012-11-20 |
| 1861760613 | Care Medical Center, LLC | Non-Pharmacy Dispensing Site | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897786 | Mdj Massage LLC | Massage Therapist | 4017 Grey Oak Dr, Valdosta, GA 31605-5865 | 2020-07-05 |
| 1225463482 | Holly Deen Derossett | Massage Therapist | 2420 Bemiss Rd., Suite B, Valdosta, GA 31602 | 2013-09-06 |
| 1386874303 | Jessica Mink Haines | Massage Therapist | 2420 Bemiss Rd Ste B, Valdosta, GA 31602-4809 | 2009-07-24 |
| 1497985428 | William Jackson Bridges Jr. | Massage Therapist | 2420 Bemiss Rd Ste B, Valdosta, GA 31602-4809 | 2009-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
| 1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
| 1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
| 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.