Individual provider Active NPI

John Brett Williamson, PA

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1366448623
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAA10380RX Issued in LA
Practice address
550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone
(225) 924-2020
Fax
(225) 925-0225
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAA10380RX LA Primary

Addresses

Primary practice location

550 Connells Park LN
Baton Rouge, LA 70806-6539

Mailing address

550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

550 Connell'S Park Lance
Baton Rouge, LA 70806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAA10380RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M. Levy, DPM, PC Past Accepting new patients
Williamson Eye Center PastSince Jan 1, 1990 Accepting new patients
Williamson Eye Center PastSince Jan 1, 1990 Accepting new patients
Williamson Eye Center PastSince Jan 1, 1990 Accepting new patients
Williamson Eye Center PastSince Jan 1, 1990 Accepting new patients
Williamson Eye Center PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1366448623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-925-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-925-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOHN",
        "middle_name": "BRETT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PAA10380RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.