DR. DOUGLAS LOGAN WILLIAMSON DNP - NPI 1386240844 - Registered Nurse in San Luis Obispo, CA

Q: What is Douglas Williamson's NPI number?

The NPI number for Douglas Williamson is 1386240844. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Q: What is Douglas Williamson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

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About Dr. Douglas Logan Williamson Dnp NPPES

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

DR. DOUGLAS LOGAN WILLIAMSON DNP (NPI 1386240844) is an individual psychiatric/mental health provider in San Luis Obispo, California, licensed in California (NP95016180) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386240844

Entity TypeIndividualMale

Primary Taxonomy163WP0808X

Provider Legal NameDR. DOUGLAS LOGAN WILLIAMSONCredential: DNP

Location Address1304 ELLA ST STE BSan Luis Obispo, CA 93401-4166

Mailing Address1304 Ella St Ste BSan Luis Obispo, CA 93401-4166 · (805) 541-6000 · Fax (805) 541-6001

Phone(805) 541-6000

Fax(805) 541-6001

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 9, 2020

Last NPPES UpdateMarch 20, 20254 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1386240844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in CA · NP95016180

1304 ELLA ST STE B, San Luis Obispo, CA 93401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Logan Williamson Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103230479

PECOS Enrollment IDI20210127002643

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA ELIZABETH DAVISON PA-C

Physician Assistant