Individual provider Active NPI

John Michael Williamson, DNP, FNP-C, ARM-BC

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1336326560
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R853568 Issued in MS
Practice address
1503 Highway 45 N
Columbus, MS 39705-2113
Phone
(662) 328-9623
Fax
(662) 327-7477
NPI assigned
Jan 30, 2008
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC003026 MD
Family Nurse Practitioner 363LF0000X R853568 MS Primary

Addresses

Primary practice location

1503 Highway 45 N
Columbus, MS 39705-2113

Mailing address

1503 Highway 45 N
Columbus, MS 39705-2113
Phone (662) 328-9623

Other practice location 1

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 840-8010

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620002459 MS Practitioner - Nurse Practitioner 7719420546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Triangle Urgent Care LLCGroup PAC ID 7315197498, 14 clinicians

Practice addresses (Care Compare)

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 840-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC003026MDMDFamily Nurse Practitioner
R853568MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Triangle Urgent Care LLC Family CurrentSince Jul 29, 2024 Accepting new patients
Golden Triangle Urgent Care LLC Family CurrentSince Jul 29, 2024 Accepting new patients

Locations

1503 Highway 45 N
Columbus, MS 39705
Phone (601) 328-9623

1154 Cross Creek Dr
Saltillo, MS 38866
Phone (662) 840-8010

500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1336326560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052113",
            "telephone_number": "662-328-9623",
            "fax_number": "662-327-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052113",
            "telephone_number": "662-328-9623",
            "fax_number": "662-327-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Cross Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388665777",
            "country_code": "US",
            "telephone_number": "662-840-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, ARM-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003026",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.