DR. KELLY G WILLIAMS M.D.
NPI 1255339701
Specialist in Murfreesboro, TN

NPI Status: Active since July 08, 2005

Contact Information

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129
Phone: (615) 867-8030
Fax: (615) 848-1182

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  • Individual
  • Male
  • Years of Experience 26
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KELLY WILLIAMS

This page provides the complete NPI Profile along with additional information for Kelly Williams, a provider established in Murfreesboro, Tennessee with a medical specialization in Specialist and more than 26 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 2000. The healthcare provider is registered in the NPI registry with number 1255339701 assigned on July 2005. The practitioner's primary taxonomy code is 174400000X with license number MD0000038812 (TN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1255339701
Provider Name
DR. KELLY G WILLIAMS M.D.
Gender
Male
Entity Type
Individual
Location Address
1272 GARRISON DR MURFREESBORO, TN 37129
Location Phone
(615) 867-8030
Location Fax
(615) 848-1182
Mailing Address
1272 GARRISON DR MURFREESBORO, TN 37129
Mailing Phone
(615) 867-8030
Mailing Fax
(615) 848-1182
Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
07-08-2005
Last Update Date
06-26-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD0000038812
License State
TN
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • UHC Bronze Copay Focus (No Referrals) - EPO
  • UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value (No Referrals) - EPO
  • UHC Gold Advantage (No Referrals) - EPO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (No Referrals) - EPO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus (No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • EssentialSmile Tennessee - Total Care - EPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1508421MEDICAID (05)TN 
3896201OTHER (01)TNMEDICARE INDIVIDUAL PTAN

Medicare Participation & PECOS Enrollment Status

Kelly Williams is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kelly Williams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6507839388

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040818001441

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 32 times for 32 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 44 times for 31 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 19 times for 16 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Reviews for DR. KELLY G WILLIAMS M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255339701
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105631870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 8 + 7 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1255339701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. DAVID ANDERSON BEAIRD M.D.

Surgery

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8040

DR. JAMES TAYLOR CARTER M.D.

Surgery

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8040

JOSEPH EDDINS BOONE JR. MD

Ophthalmology

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8050

FRANK RUSSELL DROWOTA MD

Ophthalmology

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8050

BRADLEY MEDLING MD

Surgery

(Plastic and Reconstructive Surgery)

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8080

DR. COLLEEN Q BRATSCH D.O. F.A.C.O.G.

Specialist

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8030

DR. BRAD S CHESNEY M.D.

Specialist

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8030

DR. DAVID T MCKNIGHT M.D.

Specialist

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8030

LINDSEY WINTON FNP-C

Nurse Practitioner

(Family)

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 893-4480

KRISSIE E. ROBINSON

Physical Therapist

1272 GARRISON DR
SUITE 303
MURFREESBORO, TN
ZIP 37129

(615) 849-9358

LUIS P CALDERON ACNP, BC

Nurse Practitioner

(Acute Care)

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8200

LISA L LOWE MD

Pediatrics

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 893-4480

ROBERT S HUMPHREY MD

Pediatrics

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 893-4480

CHARLES G CHANDLER MD

Pediatrics

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 893-4480

MS. DEBRA S MISTLER CRNA

Nurse Anesthetist, Certified Registered

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 893-4480

DR. KELLY CHRISTOPHER BALDWIN D.O.

Urology

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8060

LORELEI GUNN DPT

Physical Therapist

1272 GARRISON DR
SUITE 303
MURFREESBORO, TN
ZIP 37129

(615) 849-9358

JEFFREY BERGER DPT

Physical Therapist

1272 GARRISON DR
SUITE 303
MURFREESBORO, TN
ZIP 37129

(615) 849-9358

ADAM A ALLIE MD

Family Medicine

1272 GARRISON DR
MURFREESBORO, TN
ZIP 37129

(615) 867-8010

MS. EMILY C PILOTE FNP

Nurse Practitioner

(Family)

1272 GARRISON DR
INTERNAL MEDICINE
MURFREESBORO, TN
ZIP 37129

(615) 893-4480

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255339701, enumerated as an "individual" on July 08, 2005.

The provider is located at 1272 GARRISON DR MURFREESBORO, TN 37129 and the phone number is (615) 867-8030.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to verify.