Samuel Keith Williams Iii (NPI# 1336301373, PAC ID# 9234380254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336301373 |
| PAC ID by PECOS | 9234380254 |
| Professional Enrollment ID | I20141106000753 |
| Full Name | Samuel Keith Williams Iii |
| Organization Legal Name | MCKINNEY COMMUNITY HEALTH CENTER, INC |
| Address |
623 Sycamore St Blackshear GA 31516-2119 |
| Phone Number | 9124493294 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173432226 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC |
| Address | Phone | Organization |
|---|---|---|
| 623 Sycamore St, Blackshear, GA 31516-2119 | 9124493294 | MCKINNEY COMMUNITY HEALTH CENTER, INC |
| Organization Legal Name | MCKINNEY COMMUNITY HEALTH CENTER, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah L Roberts | Physician Assistant | Mckinney Community Health Center, Inc | 501 N Pierce St, Alma, GA 31501-3547 |
| Dan A Lott | Obstetrics/gynecology | Mckinney Community Health Center, Inc | 501 N Pierce St, Alma, GA 31501-3547 |
| Mary E Lott | Pediatric Medicine | Mckinney Community Health Center, Inc | 501 N Pierce St, Alma, GA 31501-3547 |
| Krupavathi Maramreddy | Pediatric Medicine | Mckinney Community Health Center, Inc | 501 N Pierce St, Alma, GA 31501-3547 |
| Street Address |
623 SYCAMORE ST |
| City | BLACKSHEAR |
| State | GA |
| Zip | 31516-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald N Griffis | Nurse Practitioner | Mckinney Medical Center Inc | 623 Sycamore St, Blackshear, GA 31516-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Littell | Chiropractic | 106 Main St, Blackshear, GA 31516-1824 |
| City | BLACKSHEAR |
| Zip Code | 31516 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BLACKSHEAR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel Keith Williams Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.