DR. SAMUEL KEITH III WILLIAMS (MD) – Internal Medicine Physician, NPI 1336301373
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SAMUEL KEITH III WILLIAMS (MD)
PO BOX 1520
HINESVILLE, GA 313108520
Phone: (912) 545-9398
Type: Mailing
1568 GEORGIA AVE
ALBANY, GA 317051158
Phone: (912) 545-9398
Type: Mailing
North McDonald Street, Ludowici, Long County, Georgia, 31316, United States
LUDOWICI, GA 313166075
Phone: (912) 545-9398
Fax: (912) 545-2747
Type: Location
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: 2014-11-06
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 |
|---|---|---|---|---|
| I20141106000753 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 1,447 | 1,445 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 814 | 699 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 346 | 336 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 287 | 287 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 31310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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