Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Daniel Williams, DO

Individual provider Family Medicine Physician · NPI 1154958353

Tyler Daniel Williams, DO is a Family Practice in Raleigh, North Carolina. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2020, 6 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
NC
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6800 Glenwood Ave
Raleigh, NC 27612-7133
Phone: (919) 235-1939
Fax: (919) 235-1344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6565 Fannin St, Houston, TX 77030-2703 — (713) 790-3311

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023-02680 (NC)

Record details

NPI number1154958353
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2020 (6 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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