Individual provider Active NPI

John Brandon Williams, APRN-FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1003540626
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225293 Issued in LA
Practice address
5800 One Perkins Place Dr Ste a
Baton Rouge, LA 70808-9113
Phone
(225) 224-8690
NPI assigned
Jul 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225293 LA Primary

Addresses

Primary practice location

5800 One Perkins Place Dr Ste a
Baton Rouge, LA 70808-9113

Mailing address

15085 Tom Williams Rd
Gonzales, LA 70737-7136
Phone (225) 335-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000519 LA Practitioner - Nurse Practitioner 4486039195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCP Urgent Care Holdings LLCGroup PAC ID 5092016816, 47 clinicians

Practice addresses (Care Compare)

2840 Florida St
Baton Rouge, LA 70802-2721
Phone (225) 224-2402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
225293LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PCP Urgent Care Holdings LLC CurrentSince Sep 7, 2022 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Sep 7, 2022 Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients

Locations

8540 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 225-8690

8540 Siegen Ln
Ste B
Baton Rouge, LA 70810
Phone (225) 224-8690

8540 Siegen Ln
Ste A
Baton Rouge, LA 70810

2840 Florida St
Baton Rouge, LA 70802
Phone (225) 224-2402

5420 Plank Rd
Baton Rouge, LA 70805
Phone (225) 228-2452

9688 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 408-7587

409 Oak Plaza Blvd
Brusly, LA 70719
Phone (225) 877-3700

5217 Elysian Fields Ave
New Orleans, LA 70122
Phone (504) 475-8500

17513 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 673-7587

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIHAD/Endpoint/CCIHAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1003540626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15085 TOM WILLIAMS RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377136",
            "telephone_number": "225-335-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 ONE PERKINS PLACE DR STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089113",
            "telephone_number": "225-224-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "225293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.