DR. KENNA J WILLIAMS M.D.
NPI 1770571853
Surgery in Pulaski, TN

Q: What is Kenna Williams's NPI number?

The NPI number for Kenna Williams is 1770571853. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Kenna Williams's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kenna Williams was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 12, 2005PECOS EnrolledAccepts Medicare Assignment

1119 E COLLEGE ST, PULASKI, TN 38478(931) 363-7100(931) 363-6111 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 23, 2023, Jul 14, 2022, Nov 16, 2021 (3 updates tracked since 2021).

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About Dr. Kenna J Williams M.d. NPPES

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

DR. KENNA J WILLIAMS M.D. (NPI 1770571853) is an individual surgery provider in Pulaski, Tennessee, licensed in Tennessee (MD 021163) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paducah, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1986).

NPPES Registry Identity

NPI1770571853

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KENNA J WILLIAMSCredential: M.D.

Location Address1119 E COLLEGE STPulaski, TN 38478-4563

Mailing AddressPo Box 912Pulaski, TN 38478-0912 · (931) 363-7100 · Fax (931) 363-6111

Phone(931) 363-7100

Fax(931) 363-6111

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1986

Enumeration DateOctober 12, 2005

Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2023

✔ NPI 1770571853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TN · MD 021163✔ Licensed in KY · C0425✔ Licensed in MT · MED-PHYS-LIC-78662

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1119 E COLLEGE ST, Pulaski, TN 38478

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Secondary Practice Location 1

Location 11532 Lone Oak Rd Ste 235Paducah, KY 42003-7941 · Phone (270) 442-9463

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenna J Williams M.d. 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 ID6800873035

PECOS Enrollment IDI20221019002624

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

Medicare enrollment records show Kenna Williams reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kenna Williams MD PLLC

2.2 mi

Surgery

1150 EAST COLLEGE STREET
Pulaski, TN 38478

Reassigned Medicare billing, Tennessee enrollment

NPI 1467573741 (931) 363-7100

Saint Thomas Medical Partners

51 mi

Gynecology

4601 CAROTHERS PARKWAY, STE. 350
Franklin, TN 37067

Reassigned Medicare billing, Tennessee enrollment
1,304 clinicians in this Medicare group

NPI 1164679411 (615) 284-4664

West Tennessee Medical Group Inc

105 mi

Internal Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
242 clinicians in this Medicare group

NPI 1053615955 (731) 660-8730

Upper San Juan Health Service District

1,126 mi

Critical Access

95 S PAGOSA BLVD
Pagosa Springs, CO 81147

Reassigned Medicare billing, Colorado enrollment
Also billed through NPI 1245401561 (Colorado)
56 clinicians in this Medicare group

NPI 1659523058 (970) 731-3700

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

23 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

17 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

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.

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38478 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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.

JERRY STEPHEN BEASLEY MD

Family Medicine

1119 E COLLEGE ST, STE 3
PULASKI, TN 38478

Giles County (931) 424-8881

ROGER D. BAILEY DC PLLC

Chiropractor

1119 E COLLEGE ST, SUITE 4
PULASKI, TN 38478

Giles County (931) 424-3331

ASHLEY PHELPS FNP-BC

Nurse Practitioner (Family)

1119 E COLLEGE ST, STE 1
PULASKI, TN 38478

Giles County (931) 207-8630

PREMIER INTERNAL MEDICINE OF GILES COUNTY

Clinical Nurse Specialist (Family Health)

1119 E COLLEGE ST, SUITE 1
PULASKI, TN 38478

Giles County (931) 207-8630

AMG HILLSIDE LLC

Family Medicine

1119 E COLLEGE ST, SUITE 3
PULASKI, TN 38478

Giles County (931) 424-8881

KATY LYNN GARNER CRNP

Nurse Practitioner

1119 E COLLEGE ST, SUITE 1
PULASKI, TN 38478

Giles County (931) 207-8630

TAYLOR JENKINS DUNNAVANT DPT

Physical Therapist

1119 E COLLEGE ST
PULASKI, TN 38478

Giles County (931) 330-0850

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 Kenna Williams's NPI number?

The NPI number for Kenna Williams is 1770571853. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Kenna Williams located?

Kenna Williams practices at 1119 E College St, Pulaski, TN 38478. The listed phone number is (931) 363-7100.

What is Kenna Williams's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kenna Williams enrolled in Medicare?

Yes. Kenna Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kenna Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenna Williams reassigns Medicare benefits to 4 organizations: Kenna Williams MD PLLC (Pulaski, TN), Saint Thomas Medical Partners (Franklin, TN), West Tennessee Medical Group Inc (Jackson, TN) and Upper San Juan Health Service District (Pagosa Springs, CO). 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 Kenna Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenna Williams accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana and Medica list Kenna 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 Kenna Williams was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.