Individual provider Active NPI

Johnathan Fred Williams, M.D.

  • Orthopaedic Trauma Physician
  • Lufkin, TX
National Provider Identifier
1326304049
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
ME133221 Issued in FL
Practice address
208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone
(936) 634-8800
Fax
(936) 634-8836
NPI assigned
Apr 6, 2012
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Trauma Physician 207XX0801X ME133221 FL Primary

Addresses

Primary practice location

208 Gaslight Blvd
Lufkin, TX 75904-3166

Mailing address

208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 630-8808

Other practice location 1

619 19th St S
Birmingham, AL 35249-1900
Phone (205) 930-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210430001477 TX Practitioner - Orthopedic Surgery 0042460834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialist Center PLLCGroup PAC ID 2163557026, 9 clinicians

Practice addresses (Care Compare)

208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 634-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement22
Lower limb (leg) arthroscopy (minimally invasive joint repair)29
Upper limb (arm) arthroscopy (minimally invasive joint repair)89
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated MRI Center, PLLC CurrentSince Jul 4, 2023 Accepting new patients
Texas Specialist Center, PLLC Orthopaedic Trauma CurrentSince Apr 1, 2021 Accepting new patients
Doctx1 PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

208 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-0062

208 Gaslight Blvd
Ste B
Lufkin, TX 75904
Phone (936) 630-8808

208 Gaslight Blvd
Ste C
Lufkin, TX 75904
Phone (936) 632-6510

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dedicated Home HealthLufkin, TX, CCN 457702 Home health agency 5% Or Greater Indirect Ownership Interest (8.33%) Jul 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1326304049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-630-8808",
            "fax_number": "936-634-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-634-8800",
            "fax_number": "936-634-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "205-930-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHNATHAN",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME133221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.