Individual provider Active NPI

James Russell Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
National Provider Identifier
1043309560
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11029010 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-6682
Phone
(352) 273-8610
Fax
(352) 273-8612
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11029010 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-6682

Mailing address

PO Box 100254
Gainesville, FL 32610-0254
Phone (352) 273-8610

Other practice location 1

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone (386) 425-4000

Other practice location 2

1041 Dunlawton Ave
Port Orange, FL 32127-7968
Phone (352) 425-4700

Other practice location 3

1890 Lpga Blvd
Daytona Beach, FL 32117-7130
Phone (386) 425-3232

Other practice location 4

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040302001173 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416844626 Reassigns benefits to 2 organizations
I20051201000220 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416844626 Reassigns benefits to 1 organization
I20231110000122 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416844626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

1 Adventhealth Way
Palm Coast, FL 32137-4702
Phone (386) 302-1800

1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 253-3333

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2025

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11029010FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 4, 2023 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Advanced Gastroenterology Health Care Centers CurrentSince Jul 18, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Dec 16, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 4, 2023 Accepting new patients
Medical University Hospital Authority CurrentSince Feb 1, 2020 Accepting new patients
Anesthesia Consultants of Augusta, LLC CurrentSince May 23, 2017 Accepting new patients
Medical University Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2025 Accepting new patients
Anesthesia & Pain Specialists of Bowling Green PLC Nurse Anesthetist, Certified Registered Past Accepting new patients
BDT Anesthesia Associates PC Past Accepting new patients
Christian County Anesthesia, PLLC Past Accepting new patients
Christian Co Anesthesia Past Accepting new patients
Florida Institute of Pain Medicine LLC Past Accepting new patients

Locations

1890 Lpga Blvd
Daytona Beach, FL 32117
Phone (386) 274-0250

311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

315 Palm Coast Pkwy NE
Ste 5
Palm Coast, FL 32137
Phone (386) 763-4920

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1690 Dunlawton Ave
Ste 230
Port Orange, FL 32127
Phone (386) 763-4920

1690 Dunlawton Ave
Ste 210
Port Orange, FL 32127
Phone (386) 763-4920

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

635 Ronald Reagan Dr
Evans, GA 30809
Phone (706) 868-3100

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

304 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-0700

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jwilliams2713632@adventhealth.direct-ci.com
  • Direct secure messaging: jwilliams648614@direct.shands.ufl.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1043309560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100254",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100254",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326106682",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142781",
            "country_code": "US",
            "telephone_number": "386-425-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 Dunlawton Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321277968",
            "country_code": "US",
            "telephone_number": "352-425-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 Lpga Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321177130",
            "country_code": "US",
            "telephone_number": "386-425-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Memorial Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175167",
            "country_code": "US",
            "telephone_number": "386-231-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11029010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.