Alvin Gene Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09479 Issued in LA

Practice address

2781 S Columbia St
Bogalusa, LA 70427-7962

Phone

(985) 241-5525

Fax

(985) 241-5530

NPI assigned

Jul 31, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackwells Family Medicine LLCGroup PAC ID 0749616381, 4 clinicians

Dr KS Family MedicineGroup PAC ID 9335426121, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walthall County General Hospital Cah Hospital, Tylertown, MS, CCN 251324
• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alvin.williams.1@20592.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20592/brand/1/csg/1/fhir/r4

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

• Blackwell's Family Medicine LLC

  • Primary Care Clinic/Center
  • Tylertown, MS
  • NPI 1366003436
  Medicare reassignment Care Compare group NPD
• Dr. K's Family Medicine

  • Rural Health Clinic/Center
  • Bogalusa, LA
  • NPI 1265971147
  Medicare reassignment Care Compare group NPD (past)
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment NPD
• Riverside Emergency Physician Partners LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1083107080
  Medicare reassignment NPD
• C&M Medical Services-St Charles LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Luling, LA
  • NPI 1407148133
  NPD (past)

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

• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation
• Walthall General Hospital

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1023326485
  Care Compare affiliation
• Walthall General Hospital

  dba Walthall Rural Health Clinic

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1255649604
  Care Compare affiliation

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1083138226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29037 MIKE THOMAS RD",
            "city": "ANGIE",
            "state": "LA",
            "postal_code": "704261835",
            "telephone_number": "985-516-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277962",
            "telephone_number": "985-241-5525",
            "fax_number": "985-241-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALVIN",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette A Wesley, SLP
• Mason Eric Westmoreland, RPH
• Karlie Michele Wheat
• Rebecca Rose Whitmore, PHARM D.
• Jane Kehr Whitney, RN
• Hubert Bradley Williams, D.C.
• Qualontra Williams, LMSW
• Jennifer Wylie
• Purnachandra Rao Yerneni, MD
• Glenda Young, BA

• Family Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.