DR. JOHNNY LEE WILLIAMS M.D. NPI 1972697746

NPI Information

  • NPI: 1972697746
  • Provider Name: DR. JOHNNY LEE WILLIAMS, M.D.
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 34D1107818
  • Address: 203 GOVERNMENT CIR
    GREENVILLE, NC
    ZIP 27834
  • Phone: (252) 413-1637

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NPI Details

DR. Johnny Lee Williams, M.D. is an addiction medicine psychiatry neurology in Greenville, NC. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Johnny Lee Williams, M.D. NPI is 1972697746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

203 GOVERNMENT CIR
GREENVILLE, NC
ZIP 27834-198
Phone: (252) 413-1637
Fax: (252) 317-0316

The NPI 1972697746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 34D1107818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 12/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction Medicine20584NORTH CAROLINAYes
2207V00000XObstetrics & Gynecology20584NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134D0944653OTHERNORTH CAROLINACLIA
287700OTHERNORTH CAROLINABCBSNC
38987700MEDICAIDNORTH CAROLINA
40728888OTHERNORTH CAROLINAUNITED HEALTHCARE
520584OTHERNORTH CAROLINAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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