Individual provider Active NPI

Joseph Greg Williamson, PA

  • Surgical Physician Assistant
  • Anderson, IN
National Provider Identifier
1386651933
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10000604A Issued in IN
Practice address
2610 Enterprise Dr
Anderson, IN 46013-9684
Phone
(765) 683-4400
Fax
(765) 213-3713
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000604A IN
Surgical Physician Assistant 363AS0400X 10000604A IN Primary

Addresses

Primary practice location

2610 Enterprise Dr
Anderson, IN 46013-9684

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575

Other practice location 1

14300 E 138th Ste B
Fishers, IN 46037-0051
Phone (800) 622-6575

Other identifiers 2

IdentifierTypeStateIssuer
970028692OtherINRAILROAD MEDICARE
000000281018OtherINANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100224000931 IN Practitioner - Physician Assistant 6103967534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

2610 Enterprise Dr
Anderson, IN 46013-9684
Phone (765) 683-4400

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

Hospital & facility affiliations

  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics, LLC CurrentSince Aug 26, 2002 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Aug 26, 2002 Accepting new patients
Central Indiana Orthopedics LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2610 Enterprise Dr
Anderson, IN 46013
Phone (765) 608-3608

14300 E 138th
Ste B
Fishers, IN 46037
Phone (317) 773-4301

706 N River Dr
Marion, IN 46952
Phone (765) 651-6637

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

Interoperability endpoints

  • Direct secure messaging: joseph.williamson.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1386651933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 ENTERPRISE DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139684",
            "telephone_number": "765-683-4400",
            "fax_number": "765-213-3713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 E 138th Ste B",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460370051",
            "country_code": "US",
            "telephone_number": "800-622-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOSEPH",
        "middle_name": "GREG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000604A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000604A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970028692",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000281018",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.