Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881861391 Deactivated / Inactive NPI Male Practitioner

Derrick Evan Williams , LPN

Licensed Practical Nurse • Chattanooga, TN

⚠️

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, Derrick Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 14, 2008
NPI Deactivation Date January 25, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Derrick Williams, LPN was a registered Licensed Practical Nurse practicing in Chattanooga, TN. Throughout an active medical career spanning 13 years, Derrick Williams provided care at the practice location at 413 SPRING ST until profile deactivation on 2021-01-25.

Practice Location & Contact Primary Location

Practice Address

413 Spring St

Chattanooga, TN 374053848

Telephone 4237562740
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Chattanooga, TN (1262 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN 34831

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Melinda Clouse , MA

Counselor - Mental Health

NPI 1013048610

Master of Arts

Robert Snyder , MA

Counselor - Mental Health

NPI 1023210499

Master of Arts

Dr. Bill Davis , PsyD

Counselor - Mental Health

NPI 1033240544

Doctor of Psychology (Psy.D.)

Dr. James Broom , MD

Psychiatry & Neurology - Psychiatry

NPI 1043383243

Doctor of Medicine (M.D.)

Michael Wilson , EDS

Counselor - Mental Health

NPI 1043421746
Jacqueline Clemmons , MA

Counselor - Mental Health

NPI 1053572289

Master of Arts

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 25, 2021

Record deactivated on January 25, 2021

NPI Profile Active May 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2008

Registered at 413 SPRING ST, CHATTANOOGA, TN 374053848 (Tel: 4237562740)

📍
Updated Business Mailing Address May 14, 2008

Registered at 413 SPRING ST, CHATTANOOGA, TN 374053848

👤
Provider Name / Credentials Updated May 14, 2008

Recorded as DERRICK WILLIAMS, L.P.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2008

Licensed Practical Nurse (License #34831 in TN)

🟢
Initial NPI Registration & Enumeration May 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Derrick Williams. Be the first to share your experience!

Sign in to leave a review for Derrick Williams

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881861391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2008
Last Update: May 14, 2008
Deactivation Date: January 25, 2021

Mailing Address

413 Spring St

Chattanooga, TN 374053848

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.