DR. KENEESHIA NICOLE WILLIAMS (NPI# 1942437363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942437363 |
| Entity Type | Individual |
| Full Name | DR. KENEESHIA NICOLE WILLIAMS |
| Credential | M.D. |
| Practice Address |
69 Jesse Hill Jr Dr Se Fl 3 Atlanta GA 30303-3033 |
| Mailing Address |
69 Jesse Hill Jr. Drive Glenn Memorial, 3rd Floor Atlanta GA 30303 |
| Practice Telephone | (404) 251-8914 |
| Mailing Telephone | (404) 251-8914 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
077597 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
69 JESSE HILL JR DR SE FL 3 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030322 | Brant Clatterbuck | Surgery | 69 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3033 | 2014-07-09 |
| 1205068723 | Elizabeth Innes Deans | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr Se Fl 3, Emory University, Atlanta, GA 30303-3033 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1548527450 | Deepika Koganti | Surgery | 69 Jesse Hill Jr. Drive, Sw, Glenn Memorial Bldg 3rd Fl, Atlanta, GA 30303 | 2012-04-16 |
| 1093004616 | Craig Rodney Mccready | Surgery | 201 Dowman Dr Ne, Atlanta, GA 30322-1007 | 2011-04-05 |
| 1104060144 | Caroline Butler | Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2009-04-21 |
| 1437124021 | Michael Samotowka | Surgery | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866261 | Emily Gilchrist | Surgery | 1505 Northside Blvd Ste 2400, Cumming, GA 30041-7662 | 2017-12-04 |
| 1528571320 | Savannah Multispecialty Associates, LLC | Surgery | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2017-11-15 |
| 1447698220 | Kyle Matthew Thomas | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2013-06-13 |
| 1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
| 1881748234 | James Dominic Frizzi | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2007-01-23 |
| 1235199407 | Terence Sidney Okeeffe | Surgery | 1120 15th St, Augusta, GA 30912-7208 | 2006-03-23 |
| 1942277645 | Robert Fred Mullins | Surgery | 3675 J Dewey Gray Cir, Ste 300, Augusta, GA 30909-1868 | 2006-03-02 |
| 1023084068 | James Cunningham | Surgery | 710 Center St, Columbus, GA 31901-1527 | 2006-02-28 |
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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.