Active NPI
Lucia Leigh Williams, MD
- Obstetrics & Gynecology Physician
- Jacksonville, TX
National Provider Identifier
1386745982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G9013
- Practice address
- 203 Nacogdoches Street
Suite 340
Jacksonville, TX 75766-2444 - Phone
- (903) 586-8100
- Fax
- (903) 589-3791
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G9013 | TX | Primary |
Addresses
Primary practice location
203 Nacogdoches Street
Suite 340
Jacksonville, TX 75766-2444
Mailing address
203 Nacogdoches Street
Suite 340
Jacksonville, TX 75766-2444
Phone (903) 586-8100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J0340 | Other | TX | BCBS PROVIDER ID |
| P00603174 | Other | TX | MEDICARE RAILROAD PIN |
| 117029 | Other | TX | SUPERIOR ID |
| 031608503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9013 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Surgical Associates, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Dallas, TX
- NPI 1336103605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1386745982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 NACOGDOCHES STREET",
"address_2": "SUITE 340",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662444",
"telephone_number": "903-586-8100",
"fax_number": "903-589-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 NACOGDOCHES STREET",
"address_2": "SUITE 340",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662444",
"telephone_number": "903-586-8100",
"fax_number": "903-589-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LUCIA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "G9013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "8J0340",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "P00603174",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR ID",
"identifier": "117029",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031608503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.