Active NPI
Johnathan Fred Williams, M.D.
- Orthopaedic Trauma Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- ME133221
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 634-8800
Hospital & facility affiliations
- Dedicated Home Health
- CHI St Lukes Health Memorial Lufkin
- Woodland Heights Medical Center
- Sabine County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 23 |
| Knee replacement | 22 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 29 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 89 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated MRI Center, PLLC | Current | Accepting new patients | |
| Texas Specialist Center, PLLC | Orthopaedic Trauma | Current | Accepting new patients |
| Doctx1 PLLC | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dedicated Home Health | 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.
-
dba Dedicated Home Health
- Home Health Agency
- Lufkin, TX
- NPI 1295713709
5% Or Greater Indirect Ownership Interest
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.
-
dba Dedicated Orthopedics of East Texas
- Orthopaedic Surgery Physician
- Lufkin, TX
- NPI 1689902231
Orthopaedic Trauma
-
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1205324183
-
dba Dedicated Orthopedic Urgent Care
- Orthopaedic Surgery Physician
- Lufkin, TX
- NPI 1881072833
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba Woodland Heights Medical Center
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
-
dba Sabine County Hospital
- Critical Access Hospital
- Hemphill, TX
- NPI 1932379856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.