HEALTHSOURCE OF OHIO INC
NPI 1003438557
Clinic/Center - Primary Care in Williamsburg, OH
About Healthsource Of Ohio Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSOURCE OF OHIO INC (NPI 1003438557), doing business as Healthsource: Williamsburg, is a healthcare organization registered as a primary care in Williamsburg, Ohio and active in the NPI registry since May 2020. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Joseph W Prather, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthsource Of Ohio Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
79Medicare enrollment records show 79 clinicians reassign Medicare billing to Healthsource Of Ohio Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 79Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0704578
Healthsource Of Ohio, Inc · Loveland, OHFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Healthsource Of Ohio Inc's NPI number?
The NPI number for Healthsource Of Ohio Inc is 1003438557. It was assigned to this organization in the NPPES registry on May 7, 2020. The provider is doing business as HealthSource: Williamsburg.
Where is Healthsource Of Ohio Inc located?
Healthsource Of Ohio Inc is located at 500 S 5th St Ste 202, Williamsburg, OH 45176. The listed phone number is (513) 536-5005.
What is Healthsource Of Ohio Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Healthsource Of Ohio Inc enrolled in Medicare?
Yes. Healthsource Of Ohio Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healthsource Of Ohio Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 10 Medicare specialties reassign their Medicare billing to Healthsource Of Ohio Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Family Practice (14) and Dentist (11). Of these, 1 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Healthsource Of Ohio Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0704578) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Healthsource Of Ohio Inc accept?
Health plans from Molina Healthcare list Healthsource Of Ohio Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Healthsource Of Ohio Inc was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Healthsource Of Ohio Inc · NPI 1003438557
Primary Care organization in Williamsburg, Ohio. Organization record, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1003438557 (Entity type: Organization)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** HealthSource: Williamsburg (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Joseph Prather, CEO
## Practice location
- **Address:** 500 S 5TH ST STE 202, Williamsburg, OH 45176-1017
- **Phone:** (513) 536-5005 · **Fax:** (513) 436-0470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 79 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (14), Dentist (11); 1 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1003438557/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2026
- **Other identifiers:** Medicaid 0419808 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003438557) · Data from the CMS NPPES public registry.