Individual provider Active NPI

Jason A Williams, M.D.

  • Surgery Physician
  • Ocean Springs, MS
National Provider Identifier
1568424851
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24537 Issued in MS
Practice address
3603 Bienville Blvd Ste 103
Ocean Springs, MS 39564
Phone
(228) 762-3000
Fax
(228) 818-4151
NPI assigned
Apr 4, 2006
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24537 MS Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME144127 FL

Addresses

Primary practice location

3603 Bienville Blvd Ste 103
Ocean Springs, MS 39564

Mailing address

3603 Bienville Blvd Ste 103
Ocean Springs, MS 39564-5736
Phone (228) 762-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160906000656 MS Practitioner - Cardiac Surgery 5597732628 Reassigns benefits to 1 organization
I20200702000071 FL Practitioner - Thoracic Surgery 5597732628

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Harvard Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

4300 Hospital St
Pascagoula, MS 39581-5306
Phone (228) 762-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Aug 20, 2016 Accepting new patients
Singing River Health System Past Accepting new patients
Singing River Gulfport Past Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

3603 Bienville Blvd
Ste 103
Ocean Springs, MS 39564
Phone (228) 762-3000

4300 Hospital St
Ste 105
Pascagoula, MS 39581
Phone (228) 474-4610

Interoperability endpoints

  • Direct secure messaging: jwilliams27751@southeasthealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1568424851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 BIENVILLE BLVD STE 103",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645736",
            "telephone_number": "228-762-3000",
            "fax_number": "228-818-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 BIENVILLE BLVD STE 103",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-762-3000",
            "fax_number": "228-818-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "24537",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME144127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.