Individual provider Active NPI

Joshua Cutrer Marks Williams, M.D., PH.D

  • Internal Medicine Physician
  • Jackson, MS
National Provider Identifier
1104024769
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21196 Issued in MS
Practice address
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone
(601) 376-2832
Fax
(601) 376-1816
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21196 MS Primary
Hospitalist Physician 208M00000X 21196 MS

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Mailing address

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000759 MS Practitioner - Internal MedicinePractitioner - Hospitalist 3779760061 Reassigns benefits to 2 organizations
Practice locations: Jackson, MS

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Louisiana State University School of Medicine in New Orleans, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians

Practice addresses (Care Compare)

1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 936-2390

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 824-8501

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
  • Crossgates River Oaks Hospital Hospital, Brandon, MS, CCN 250096
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • Select Specialty Hospital Jackson Long-term care hospital, Jackson, MS, CCN 252007

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21196MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Jackson Heart Cardiology Clinic-Kosciusko CurrentSince May 2, 2011 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine Current Accepting new patients
Medical Foundation of Central Ms CurrentSince May 2, 2011 Accepting new patients
Mississippi Hma Hospitalists, LLC Hospitalist CurrentSince Sep 1, 2014 Accepting new patients
Mississippi Hma Hospitalists, LLC Hospitalist CurrentSince Sep 1, 2014 Accepting new patients
Peter J Jensen MD PC Past Accepting new patients
River Oaks Hospital LLC Past Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1104024769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2832",
            "fax_number": "601-376-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2832",
            "fax_number": "601-376-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOSHUA",
        "middle_name": "CUTRER MARKS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "21196",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "21196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.