1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Marriage Family Therapist
  6. NPI Profile

MR. EDDIE DEMEATRICE WILLIAMS III LAMFT
NPI 1679984975
Marriage & Family Therapist in Valdosta, GA

Active since May 08, 2014PECOS Enrolled
111 WOODROW WILSON DR, SUITE B, VALDOSTA, GA 31602(229) 219-1811 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Eddie Demeatrice Williams Iii Lamft NPPES

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

MR. EDDIE DEMEATRICE WILLIAMS III LAMFT (NPI 1679984975) is an individual marriage & family therapist in Valdosta, Georgia, licensed in Georgia (AMFT000303) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679984975
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. EDDIE DEMEATRICE WILLIAMS IIICredential: LAMFT
Location Address111 WOODROW WILSON DR, SUITE BValdosta, GA 31602-2587
Mailing Address111 Woodrow Wilson Dr, Suite BValdosta, GA 31602-2587 · (229) 219-1811
Phone(229) 219-1811
Sole ProprietorNo
Enumeration DateMay 8, 2014
✔ NPI 1679984975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · AMFT000303
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
111 WOODROW WILSON DR, Valdosta, GA 31602
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Eddie Demeatrice Williams Iii Lamft 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 Reassignment

Medicare enrollment records show Eddie Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctor On Demand Professionals P C
2,272 mi
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1174931448 (800) 997-6196

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

Other Providers at the Same Location NPPES 2

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

ADVANCED HEARING SOLUTIONS OF GA AND FL, LLC
Hearing Instrument Specialist
111 WOODROW WILSON DR, SUITE A
VALDOSTA, GA 31602
Lowndes County (229) 253-0105
PALMTREE PSYCHOLOGICAL SERVICES, LLC
Psychologist
111 WOODROW WILSON DR, SUITE B
VALDOSTA, GA 31602
Lowndes County (229) 219-1811

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 Eddie Williams's NPI number?

The NPI number for Eddie Williams is 1679984975. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Eddie Williams located?

Eddie Williams practices at 111 Woodrow Wilson Dr Suite B, Valdosta, GA 31602. The listed phone number is (229) 219-1811.

What is Eddie Williams's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Eddie Williams enrolled in Medicare?

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

Which organization bills Medicare for Eddie Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Williams reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, CA). The 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 Eddie Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eddie Williams was last updated on May 8, 2014. 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.