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Deactivated NPI 1174145478 Deactivated / Inactive NPI Male Practitioner

Paul Williams

Peer Specialist • Columbus, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2020
NPI Deactivation Date August 24, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Paul Williams was a registered Peer Specialist practicing in Columbus, OH. Throughout an active medical career spanning 1 years, Paul Williams provided care at the practice location at 1000 ATCHESON ST until profile deactivation on 2021-08-24.

Practice Location & Contact Primary Location

Practice Address

1000 Atcheson St

Columbus, OH 432031353

Telephone 6142524941
Associated Practice Facility / Clinic
🏢 The Neighborhood House, Inc. Facility NPI 1639292568

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
404 Specialists

Practicing in Columbus, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH 0001715

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Andre Porter

Counselor - Addiction (Substance Use Disorder)

NPI 1013618446
NPI 1023620119

Licensed Social Worker

NPI 1093287310

Licensed Social Worker

Gregory Sweet

Case Manager/Care Coordinator

NPI 1124728043
Latanya Christian , RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164733499

Registered Nurse

Kate Baecker

Counselor - Addiction (Substance Use Disorder)

NPI 1184447054

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2021

Record deactivated on August 24, 2021

NPI Profile Active May 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2020

Registered at 1000 ATCHESON ST, COLUMBUS, OH 432031353 (Tel: 6142524941)

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Updated Business Mailing Address May 11, 2020

Registered at 1000 ATCHESON ST, COLUMBUS, OH 432031353 (Tel: 6142524941)

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Provider Name / Credentials Updated May 11, 2020

Recorded as PAUL WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2020

Peer Specialist (License #0001715 in OH)

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Initial NPI Registration & Enumeration May 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174145478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2020
Last Update: May 11, 2020
Deactivation Date: August 24, 2021

Mailing Address

1000 Atcheson St

Columbus, OH 432031353

Phone: 6142524941

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.