Individual provider Active NPI

Jason Antonio Williams, M.D

  • Neurology Physician
  • St Petersburg, FL
National Provider Identifier
1205128998
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME123834 Issued in FL
Practice address
2201 Central Ave
Suite 200
St Petersburg, FL 33713-8844
Phone
(727) 914-0200
Fax
(727) 201-8905
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C1-0024862 DE
Neurology Physician 2084N0400X ME123834 FL Primary

Addresses

Primary practice location

2201 Central Ave
Suite 200
St Petersburg, FL 33713-8844

Mailing address

2201 Central Ave
Suite 200
St Petersburg, FL 33713-8844
Phone (727) 914-0200

Other practice location 1

4755 Ogletown Stanton Rd Ste 2E99
Newark, DE 19718-8844
Phone (302) 733-5982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DE, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150713002994 FL Practitioner - Neurology 5698088136 Reassigns benefits to 3 organizations
I20240404000624 DE Practitioner - Neurology 5698088136 Reassigns benefits to 2 organizations
I20240517000791 MD Practitioner - Neurology 5698088136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of Ny Upstate Medical University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

10594 Royal Cypress Way
Orlando, FL 32836-6529
Phone (972) 449-0540

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

13548 Traditions Dr
Seminole, FL 33776-3400
Phone (410) 398-3868

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare California, P.C. Neurology CurrentSince Apr 11, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Union Hospital of Cecil County Neurology CurrentSince Apr 17, 2024 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Mar 29, 2024 Accepting new patients
Christiana Care Health Services, Inc Neurology CurrentSince Mar 29, 2024 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Mar 29, 2024 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 27, 2017 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Apr 27, 2017 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

4755 Ogletown Stanton Rd
Ste 2E99
Newark, DE 19718
Phone (302) 623-3017

4755 Ogletown Stanton Rd
#2E99
Newark, DE 19718
Phone (302) 733-1200

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

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 2

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1205128998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138844",
            "telephone_number": "727-914-0200",
            "fax_number": "727-201-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138844",
            "telephone_number": "727-914-0200",
            "fax_number": "727-201-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd Ste 2E99",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197188844",
            "country_code": "US",
            "telephone_number": "302-733-5982",
            "fax_number": "302-733-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "ANTONIO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0024862",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME123834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.