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DARTHVADER DEVON WILLIAMSON RSA
NPI 1972166114
Specialist/Technologist, Other - Surgical Assistant in Bartlett, TN

Active since April 14, 2019
2986 KATE BOND RD, BARTLETT, TN 38133(901) 820-7468 Get Directions Write a Review

NPPES record last updated: April 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darthvader Devon Williamson Rsa NPPES

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

DARTHVADER DEVON WILLIAMSON RSA (NPI 1972166114) is an individual surgical assistant in Bartlett, Tennessee, licensed in Tennessee (MAS0000000047) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1972166114
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameDARTHVADER DEVON WILLIAMSONCredential: RSA
Location Address2986 KATE BOND RDBartlett, TN 38133-4003
Mailing Address13560 Highway 196Eads, TN 38028-3606
Phone(901) 820-7468
Sole ProprietorYes
Enumeration DateApril 14, 2019
✔ NPI 1972166114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TN · MAS0000000047
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
2986 KATE BOND RD, Bartlett, TN 38133
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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.

DR. WILLIAM D WILCOX MD
Emergency Medicine
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 377-8727
JESSICA SIMPSON M.A., CCC-SLP
Speech-Language Pathologist
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 820-7433
KIMBERLY MICHELLE BROWN MD
Emergency Medicine
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 820-7000
HOLLY KAY WAGNER
Registered Nurse
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 491-2692
TENIEKA JONES
Physical Therapist
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 820-7430
ALLISON SWEARINGEN
Physical Therapist
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 382-6286
KIMBERLY ANN CUCCIA
Physical Medicine & Rehabilitation
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 382-6280
SHARON RAYFORD PTA
Physical Therapy Assistant
2986 KATE BOND RD
BARTLETT, TN 38133
Shelby County (901) 820-7430

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 Darthvader Williamson's NPI number?

The NPI number for Darthvader Williamson is 1972166114. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Darthvader Williamson located?

Darthvader Williamson practices at 2986 Kate Bond Rd, Bartlett, TN 38133. The listed phone number is (901) 820-7468.

What is Darthvader Williamson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Darthvader Williamson was last updated on April 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.