1. Home
  2. Directory
  3. Tennessee
  4. Mc Kenzie
  5. Pediatrics
  6. NPI Profile

DR. TAVARES KINTE WILLIAMS M.D.
NPI 1669629531
Pediatrics in Mc Kenzie, TN

Active since August 22, 2008PECOS Enrolled
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201(731) 352-7907(731) 352-4459 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tavares Kinte Williams M.d. NPPES

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

DR. TAVARES KINTE WILLIAMS M.D. (NPI 1669629531) is an individual pediatrics provider in Mc Kenzie, Tennessee, licensed in Tennessee (46412) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669629531
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TAVARES KINTE WILLIAMSCredential: M.D.
Location Address205 HOSPITAL DR, SUITE AMc Kenzie, TN 38201-1649
Mailing Address205 Hospital Dr, Suite AMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (731) 352-4459
Phone(731) 352-7907
Fax(731) 352-4459
Sole ProprietorNo
Enumeration DateAugust 22, 2008
Last NPPES UpdateDecember 1, 2011
✔ NPI 1669629531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 46412
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
205 HOSPITAL DR, Mc Kenzie, TN 38201
Open in Google Maps ↗

Other Identifiers 4

Other3380640TN · Medicare Group
Medicare PIN103I377252TN
Other3380640TN · Medicaid Group
Medicaid1519998TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tavares Kinte Williams M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tavares Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Darsalud Community Center Inc
107 mi
General Practice
6063 MOUNT MORIAH ROAD EXT STE 4
Memphis, TN 38115
  • Reassigned Medicare billing, Tennessee enrollment
  • 16 clinicians in this Medicare group
NPI 1174184709 (901) 531-8800
Urgent Care For Children, PLLC
196 mi
Pediatrics
5207 HIGHWAY 153
Hixson, TN 37343
  • Reassigned Medicare billing, Tennessee enrollment
  • 26 clinicians in this Medicare group
NPI 1205434420 (205) 848-2273
County Of San Joaquin
1,804 mi
Multi-Specialty
283 SPRECKELS AVE
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • 534 clinicians in this Medicare group
NPI 1417407636 (209) 953-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38201 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JOYCE R HAYES DPH
Pharmacist
205 HOSPITAL DR
MC KENZIE, TN 38201
Carroll County (731) 352-0820
KELLY E RAWLS PHYSICIAN ASSISTANT
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Carroll County (731) 352-7907
JAMES O MORGAN M.D.
Urology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Carroll County (731) 352-7907
ADVANCED DIAGNOSTIC CENTER LLC
Clinic/Center (Radiology)
205 HOSPITAL DR, SUITE C
MC KENZIE, TN 38201
Carroll County (731) 352-7907
HOLLY ANNE ARNOLD PA-C
Physician Assistant (Medical)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Carroll County (731) 352-7907
LORI B HOLLADAY FNP-BC
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Carroll County (731) 352-7907
LAURA BAKER NP-C
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Carroll County (731) 352-7907
MR. DAVID ANDREW JOHNSON MSW, LMFT
Marriage & Family Therapist
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Carroll County (731) 352-7907

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 Tavares Williams's NPI number?

The NPI number for Tavares Williams is 1669629531. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Tavares Williams located?

Tavares Williams practices at 205 Hospital Dr Suite A, Mc Kenzie, TN 38201. The listed phone number is (731) 352-7907.

What is Tavares Williams's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tavares Williams enrolled in Medicare?

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

Which organizations bill Medicare for Tavares Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tavares Williams reassigns Medicare benefits to 3 organizations: Darsalud Community Center Inc (Memphis, TN), Urgent Care For Children, PLLC (Hixson, TN) and County Of San Joaquin (Manteca, CA). Each 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 Tavares Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tavares Williams accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Tavares 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 Tavares Williams was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.