Individual provider Active NPI

Jeffrey M Williams, MD

  • Gastroenterology Physician
  • Athens, GA
National Provider Identifier
1407822158
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
048837 Issued in GA
Practice address
3320 Old Jefferson Rd
BLDG 400
Athens, GA 30607-1400
Phone
(706) 613-1625
Fax
(706) 613-1629
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 048837 GA Primary

Addresses

Primary practice location

3320 Old Jefferson Rd
BLDG 400
Athens, GA 30607-1400

Mailing address

3320 Old Jefferson Rd
BLDG 400
Athens, GA 30607-1400
Phone (706) 613-1625

Other identifiers 1

IdentifierTypeStateIssuer
00867963AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060612000102 GA Practitioner - Gastroenterology 1052379252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Gastroenterology AssociationGroup PAC ID 8527070630, 6 clinicians

Practice addresses (Care Compare)

209 Mercer PL
Commerce, GA 30529-1564
Phone (706) 613-1625

229 Athens St
Hartwell, GA 30643-1854
Phone (706) 356-0591

3320 Old Jefferson Rd
Suite 400
Athens, GA 30607-1463
Phone (706) 613-1625

367 Clear Creek Pkwy
Suite 2007
Lavonia, GA 30553-4173
Phone (706) 613-1625

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy543
Upper gastrointestinal (GI) endoscopy for acid reflux455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048837GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Athens Gastroenterology Endoscopy Center Inc CurrentSince Nov 9, 2010 Accepting new patients
Athens Gastroenterology Association Gastroenterology CurrentSince May 31, 2006 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3320 Old Jefferson Rd
Bldg 400
Athens, GA 30607

3320 Old Jefferson Rd
Athens, GA 30607
Phone (706) 353-3600

3320 Old Jefferson Rd
Ste 400
Athens, GA 30607
Phone (706) 400-4262

209 Mercer Pl
Commerce, GA 30529
Phone (706) 583-9000

229 Athens St
Hartwell, GA 30643
Phone (706) 356-0591

367 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 613-1625

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDFDD
  • Direct secure messaging: jeffreywilliams@mmc.medalliesdirect.net

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 5

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1407822158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BLDG 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-613-1625",
            "fax_number": "706-613-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BLDG 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-613-1625",
            "fax_number": "706-613-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "048837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867963A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.