EXCLUDEDPROVIDER
Individual Program Crime

Andre Damian Sr Williams

Decatur, GA 30034

Public HHS-OIG LEIE exclusion record

Andre Damian Sr Williams of Decatur, GA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1356338297 with a primary specialty of Obstetrics & Gynecology. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Andre Damian Sr Williams is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of February 19, 2015.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Decatur, GA 30034
Exclusion date
February 19, 2015
Exclusion type
Program Crime (1128a1)
NPI
1356338297

Record summary

Andre Damian Sr Williams appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Decatur, Georgia. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is February 19, 2015, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateFebruary 19, 2015
Exclusion typeConviction of program-related crimes (1128a1)
NPI1356338297
UPIND41396
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Decatur, GA 30034. The listed provider category is Physician (MD, DO). The listed specialty is OB/GYN.

NPI Registry context

The LEIE record lists NPI 1356338297. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Obstetrics & Gynecology (207V00000X). Registered practice location: Decatur, GA. NPI enumeration date: Oct 5, 2005. NPPES status: Active. The NPI Registry lists credential: M.D..

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Decatur, GA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Decatur, GA address.

Valerie La Shan West Individual Patient Abuse
Decatur, GA · Conviction relating to patient abuse or neglect · Excluded Nov 2024
Glenn Pair Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Jan 2023
Wax David Barnell Flowers Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Aug 2020
Kim Bray Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Mar 2019
Patrice Rose Copenny Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Jun 2018
Allen Troy Flynt Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Feb 2015
George Boyd Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Jul 2012
Sandra Haney Individual Program Crime
Decatur, GA · Conviction of program-related crimes · Excluded Jun 2011

See all 69 excluded providers in Decatur →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

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