Individual provider Active NPI

Jennifer Faye Williams, FNP-C

  • Family Nurse Practitioner
  • Athens, TX
National Provider Identifier
1497113948
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130132 Issued in TX
Practice address
1115 E Tyler St
Athens, TX 75751-2145
Phone
(903) 292-5015
NPI assigned
Jan 28, 2016
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 669224 TX
Family Nurse Practitioner 363LF0000X AP130132 TX Primary

Addresses

Primary practice location

1115 E Tyler St
Athens, TX 75751-2145

Mailing address

820 County Road 3824
Athens, TX 75752-4094
Phone (903) 203-1254

Other names 1

  • Jennifer Faye Flowers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160516000440 TX Practitioner - Nurse Practitioner 3375542673 Reassigns benefits to 2 organizations
I20260331000205 OK Practitioner - Nurse Practitioner 3375542673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, shared by 18 NPIs, 155 clinicians

Practice addresses (Care Compare)

10207 China Spring Rd
Suite 170
Waco, TX 76708-7128
Phone (979) 703-1832

1115 E Tyler St
Athens, TX 75751-2145
Phone (903) 292-5015

2901 W 7TH Ave
Integrity Urgent Care
Corsicana, TX 75110-4811
Phone (903) 616-0111

3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
669224TXMDNurse Practitioner
AP130132TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Oct 8, 2018 Accepting new patients
DCS Medical PA CurrentSince Oct 8, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Feb 5, 2024 Accepting new patients
DCS Medical PA Past Accepting new patients
Eye for Beauty Med Spa & GBC Family Medicine, PLLC Family PastSince Mar 19, 2016 Accepting new patients

Locations

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

1115 E Tyler St
Ste 135
Athens, TX 75751

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

5406 Wesley St
Greenville, TX 75402
Phone (254) 328-0550

209 Kings Fort Pkwy
Kaufman, TX 75142
Phone (972) 703-9040

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

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, 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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1497113948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 COUNTY ROAD 3824",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757524094",
            "telephone_number": "903-203-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E TYLER ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512145",
            "telephone_number": "903-292-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "FAYE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "669224",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FLOWERS",
            "middle_name": "FAYE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.