NPIMap

Individual provider Active NPI

Brittany Johanna Williamson, D.O.

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1184852980
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101018081 Issued in MI
Practice address
400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6152
Phone
(517) 784-0588
Fax
(517) 784-3866
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018081 MI Primary

Addresses

Primary practice location

400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6152

Mailing address

PO Box 67000
Department 272801
Detroit, MI 48267-2728
Phone (517) 784-0588

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwilliamson456360@direct.hfhs.org Health Information Exchange (HIE) Henry Ford Health System

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000091 MI Practitioner - Family Practice 3072769157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family HealthGroup PAC ID 4587574421, 39 clinicians

Practice addresses (Care Compare)

400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6152
Phone (517) 205-8991

505 N Jackson St
Jackson, MI 49201-1266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Health Family Medicine CurrentSince Jul 4, 2013 Accepting new patients
Wa Foote Memorial Hospital Inc. CurrentSince Jan 4, 2014 Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Feb 4, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jan 4, 2014 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Center for Family Health Family Medicine CurrentSince Jul 4, 2013 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Cogent Healthcare of Michigan PC Family Medicine Past Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

400 Hinckley Blvd
Ste 100
Jackson, MI 49203
Phone (517) 205-8991

505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500

544 Wildwood Ave
Jackson, MI 49201
Phone (517) 780-0838

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Organizations & group practices 9

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 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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1184852980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "DEPARTMENT 272801",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "517-784-0588",
            "fax_number": "517-784-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HINCKLEY BLVD",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492036152",
            "telephone_number": "517-784-0588",
            "fax_number": "517-784-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BRITTANY",
        "middle_name": "JOHANNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliamson456360@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Health System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.