DR. MICHAEL ANTHONY WILLIAMS (NPI# 1376504647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376504647 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY WILLIAMS |
| Credential | MD |
| Practice Address |
1604 Meadows Ln Vidalia GA 30474-8914 |
| Mailing Address |
Po Box 648 Vidalia GA 30475-0648 |
| Practice Telephone | 9122454179 |
| Practice Fax Number | 9124033346 |
| Mailing Telephone | 9122454179 |
| Mailing Fax Number | 9124033346 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 38650 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 38650 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000600575F | 05 | |
| GA | 00600575C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| 1629691159 | Michael Leon Williams | Psychologist | 2901 Troost Ave # 64109, Kansas City, MO 64109-1538 | 2020-05-19 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1043750227 | Michael Xavier Williams | Student in an Organized Health Care Education/Training Program | 848 Keystone Way, Newport, PA 17074 | 2017-03-07 |
| 1215489893 | Michael T. Williams Jr. | Private Vehicle | 8 Milliner St, Rochester, NY 14611-1112 | 2016-10-28 |
| 1326407115 | Michael Williams | Chore Provider | 20452 Sunbright Ln, Germantown, MD 20874-1088 | 2016-02-22 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| Street Address |
1604 MEADOWS LN |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778893 | Williams Rural Surgical & Medical Clinic | Clinic/Center | 1604 Meadows Ln, Vidalia, GA 30474-8914 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| 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 |
|---|---|---|---|---|
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1275641995 | Walter J Revell Jr. | Surgery | 305 W 1st St, Vidalia, GA 30474-3302 | 2006-08-25 |
| 1144289349 | Robert Bicknell Clark Jr. | Surgery | 1811 Manning Dr, Vidalia, GA 30474-8921 | 2006-03-17 |
| 1891109880 | Henry Leon Ferland IIi | Surgery | 1811 Edwina Dr, Vidalia, GA 30474-8963 | 2014-06-17 |
| 1760702328 | Joy M Dunn | Surgery | 1811 Edwina Dr, Vidalia, GA 30474-8963 | 2010-06-07 |
| 1831325356 | Kendrix Jermaine Evans | Surgery | 1811 Edwina Dr, Vidalia, GA 30474-8963 | 2009-06-10 |
| 1760692388 | Robert S Riddick Mdpc | Surgery | 106 Queen Street, Suite 4, Vidalia, GA 30474 | 2007-05-23 |
| 1639247414 | Mppg, Inc. | Surgery | 200 Maple Drive, Vidalia, GA 30474 | 2006-12-01 |
| 1780672287 | Gregory Norkus | Surgery | 1811 Edwina Dr, Vidalia, GA 30474-8963 | 2005-10-10 |
| 1437145208 | Kurt Patrick Hofmann | Surgery | 1811 Edwina Dr, Vidalia, GA 30474-8963 | 2005-09-27 |
| Find all providers in VIDALIA | ||||
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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.