P Praxis·MD
● Active Type 1 · Individual

MR. Reginald A Williams, MD

Surgery·Jesup, GA· NPI 1174692891 · Enumerated 2006 · 19 years on NPI
Williams is 1 of 8 surgery providers in Jesup and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2006-11-07
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-10-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
113 Colonial Way
Jesup, GA 315450245
📞 9124279169fax 9124279171
Mailing address
Po Box 467
Jesup, GA 315980467
📞 9124279169fax 9124279171

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #055788KY license #37487 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (KY) 64061377
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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