DR. PAUL DAVID WILLIAMS (M.D.) – Surgery Physician, NPI 1861508111

DR. PAUL DAVID WILLIAMS (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MT200183 (PA). The NPI Number for DR. PAUL DAVID WILLIAMS (M.D.) is 1861508111

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL DAVID WILLIAMS (M.D.)
NPI
1861508111
Phone
(713) 829-0772
Address
69 Jesse Hill Junior Drive SW
Enumeration Date
21 August 2006
Last Update Date
24 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136157260
Graduation Year
2011 (15 years ago)
PAC ID
4789965013
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20171202000278
Address ID
FL336133905TA13901BLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. PAUL DAVID WILLIAMS (M.D.)

  • 69 Jesse Hill Junior Drive SW

    Glen Memorial Building, 3rd floor

    Atlanta, GA 30303

    Phone: (713) 829-0772

    Type: Location

  • 40100 Highway 27

    Davenport, FL 338375906

    Phone: (863) 422-4971

    Type: Location

  • 1485 Legends Blvd

    Champions Gate, FL 338968393

    Phone: (863) 421-7276

    Type: Location

  • 40124 HIGHWAY 27 STE 207

    DAVENPORT, FL 338375905

    Phone: (863) 421-7276

    Fax: (863) 421-7109

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Elucent Medical ($283).

Total Amount

$283

General + Research + Ownership

Payments

12

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Elucent Medical$283
View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171202000278IGeneral SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes163120$0
77067Screening mammography150150$0
77063Screening 3d breast mammography149149$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)10792$0
77066Diagnostic mammography of both breasts7169$0
View full utilization report →

Insurance plans in this area (ZIP 30303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
-FL

Reviews

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Frequently asked questions

What is DR. PAUL DAVID WILLIAMS (M.D.)'s NPI number?
DR. PAUL DAVID WILLIAMS (M.D.)'s NPI is 1861508111 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. PAUL DAVID WILLIAMS (M.D.)?
For scheduling context, DR. PAUL DAVID WILLIAMS (M.D.) is shown as active in the registry.
What kind of doctor is DR. PAUL DAVID WILLIAMS (M.D.)?
DR. PAUL DAVID WILLIAMS (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. PAUL DAVID WILLIAMS (M.D.) located near Atlanta?
DR. PAUL DAVID WILLIAMS (M.D.) currently maps to Atlanta, Georgia in this extract.
When was this NPI issued?
Enumeration for DR. PAUL DAVID WILLIAMS (M.D.) is noted as August 21, 2006 where the registry provides it.

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