A Terrel Williams, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9205 Issued in MS

Practice address

3000 Old Canton Rd
Suite 350
Jackson, MS 39216-4200

Phone

(601) 981-1550

Fax

(601) 981-0804

NPI assigned

Mar 16, 2006

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A.Terrel Williams, MD, PLLCGroup PAC ID 6800888611, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.6 of 100Reported as group

Quality

99.19

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• A.Terrel Williams, MD, PLLC

  • Specialist
  • Jackson, MS
  • NPI 1386861649
  Medicare reassignment Care Compare group
• Lakeland Optical, LLP

  • Eyewear Supplier
  • Jackson, MS
  • NPI 1265581599
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1568431963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD",
            "address_2": "STE 305",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164245",
            "telephone_number": "601-981-1550",
            "fax_number": "601-981-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD",
            "address_2": "SUITE 350",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164200",
            "telephone_number": "601-981-1550",
            "fax_number": "601-981-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "A",
        "middle_name": "TERREL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "9205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William McCallister
• William S Cook Jr M D P a
• William T Williams Jr MD
• Melinda Williams-Boykin
• Shawuanna Williams-Walker, NURSE PRACTITIONER
• Akelia Williams, RN
• Alison Faith Williams, M.D.
• Ambric N Williams, OTA
• Andrea Denise Williams
• Anita Kaye Williams, R.N.

• Ophthalmology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.