Jeffrey Martin Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA54254 Issued in CA

Practice address

10862 Calle Verde
La Mesa, CA 91941-7340

Phone

(619) 670-5400

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, UT, KS3 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 3

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Wound Integrity Kansas PAGroup PAC ID 9830528363, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Quality Care - Houston Home health agency, Houston, TX, CCN 679628
• Vitalcaring Group Home health agency, Sulphur Springs, TX, CCN 679076

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Premier Provider Health PA

  • Infectious Disease Physician
  • Austin, TX
  • NPI 1013397066
  Medicare reassignment Care Compare group NPD
• Wound Integrity Kansas PA

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1356974679
  Medicare reassignment Care Compare group NPD
• Premier Provider Health Utah PLLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1699311209
  Medicare reassignment
• Premier Provider Health PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1700032745
  NPD
• Premier Provider Health PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1235280496
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Texas Home Health Agency, LTD

  • Home Health Agency
  • Sulphur Springs, TX
  • NPI 1467591032
  Care Compare affiliation
• Signature Homecare Services, Texas LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1104150531
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1598854432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O SCRIPPS MEDICAL FOUNDATION",
            "address_2": "10790 RANCHO BERNARDO RD, MAIL DROP 4S-205, DESK 2368",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-927-5527",
            "fax_number": "619-542-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10862 CALLE VERDE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417340",
            "telephone_number": "619-670-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Davis MD, Inc
• William H Buchner Jr M D Inc
• William L. Wilson, M.D., Inc.
• William Oree Inc.
• James Williams, RPH
• Julie Ellen Williams, LMFT
• Kenneth W. Williams, D.D.S.
• Kristina Katarina Williams
• Nicole Joyce Williams, MS, RD
• Stephanny Ein Williams

• Physician Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.