DR. TYJUAN MARCQUELL WILLIAMS DMD
NPI 1164684403
Dentist in Augusta, GA

Q: What is Tyjuan Williams's NPI number?

The NPI number for Tyjuan Williams is 1164684403. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Q: What is Tyjuan Williams's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tyjuan Williams was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since June 27, 2008PECOS Enrolled

4045 JIMMIE DYESS PKWY, SUITE 103, AUGUSTA, GA 30909(706) 868-4200(706) 868-4717 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Tyjuan Marcquell Williams Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYJUAN MARCQUELL WILLIAMS DMD (NPI 1164684403) is an individual dentist in Augusta, Georgia, licensed in Georgia (DN013725) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164684403

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TYJUAN MARCQUELL WILLIAMSCredential: DMD

Location Address4045 JIMMIE DYESS PKWY, SUITE 103Augusta, GA 30909-9491

Mailing Address4045 Jimmie Dyess Pkwy, Suite 103Augusta, GA 30909-9491 · (706) 868-4200 · Fax (706) 868-4717

Phone(706) 868-4200

Fax(706) 868-4717

Sole ProprietorYes

Enumeration DateJune 27, 2008

Last NPPES UpdateOctober 31, 2013

✔ NPI 1164684403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN013725

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4045 JIMMIE DYESS PKWY, Augusta, GA 30909

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Other Identifiers 1

Medicaid003107901BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyjuan Marcquell Williams Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently 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 Tyjuan Williams's NPI number?

The NPI number for Tyjuan Williams is 1164684403. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Tyjuan Williams located?

Tyjuan Williams practices at 4045 Jimmie Dyess Pkwy Suite 103, Augusta, GA 30909. The listed phone number is (706) 868-4200.

What is Tyjuan Williams's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tyjuan Williams enrolled in Medicare?

Yes. Tyjuan Williams is registered in the Medicare PECOS enrollment system.

What insurance does Tyjuan Williams accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Tyjuan Williams 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 Tyjuan Williams was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.