Michael David Williams is a Southaven, Mississippi based nurse practitioner with 5 years of experience in . He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael David Williams is 28243 in Tennessee. His current practice location is 7900 Airways Blvd Bldg B102, Southaven. Patients can reach him at 662-349-9023 or can fax him at 662-349-9023. Michael David Williams is NP-C and his NPI number (Unique professional ID assigned by NPPES) is 1174139182. Michael David Williams has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Michael David Williams speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971914102
Enrollment ID:
I20201119001942
NPI Number:
1174139182
NPI Enumeration Date:
16 Sep, 2020
NPI Last Update On:
21 Jun, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael David Williams are as mentioned below.
License Number
Specialization
State
Status
28243
Tennessee
Primary
WILL-45YJ7O
Family
Mississippi
Secondary
211443
Family
Tennessee
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Michael David Williams is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Msk Group Pc (4688574262)
130
Proactive Heart And Vascular Pllc (6406753748)
3
Msk Group Pc (4688574262)
130
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael David Williams such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
28243
Other
Tennessee
STATE LICENSE
904159
Other
Mississippi
STATE LICENSE
800828771
Other
Mississippi
DRIVER'S LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Michael David Williams 6077 Primacy Pkwy Ste 140, Memphis, Tennessee
Zip:
38119-5754
Phone Number:
901-259-1673
Fax Number:
901-259-7637
Patients can reach Michael David Williams at 7900 Airways Blvd Bldg B102, Southaven, Mississippi or can call to book an appointment on 662-349-9023.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.