DR. BENISE L WILLIAMS (M.D.) – Family Medicine Physician, NPI 1184669350
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for DR. BENISE L WILLIAMS (M.D.)
749 Lanier Ave W Ste 118
Fayetteville, GA 302147658
Phone: (770) 835-5039
Type: Location
303 Smith Street
Clark-Holder Clinic, P.A.
LaGrange, GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4091
Type: Location
300 TWINING ST BLDG 760
MONTGOMERY, AL 361126027
Phone: (334) 953-5143
Fax: (334) 953-6313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080707000211 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 568 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 98 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 89 | 42 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 85 | 72 | $0 |
Insurance plans in this area (ZIP 30214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine, Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| - | GA | |
| Physician Assistant | GA |
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