Jason Anthony Williams, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

102539 Issued in NC

Practice address

2001 S Main St
Suite 200
Wake Forest, NC 27587-1612

Phone

(919) 562-3155

Fax

(919) 562-7401

NPI assigned

Nov 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Clayton Urgent Care and Family Clinic PA

  • General Practice Physician
  • Clayton, NC
  • NPI 1104912096
  NPD (past)
• Cross Creek Urgent Care and Family Clinic

  • Military Health Care Provider
  • Fayetteville, NC
  • NPI 1174581235
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1609949288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CLARENDON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054847",
            "telephone_number": "910-237-9483",
            "fax_number": "919-562-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871612",
            "telephone_number": "919-562-3155",
            "fax_number": "919-562-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "102539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa B Wilder
• Kayla Alexandra Wilkerson
• Nicole Wilkins
• William C. May, DMD. PLLC
• William Graham
• Kimberly Williams, BCBA, LBA
• Pauline Williams, PT
• Breana Williamson
• Monica Leigh Willinger, DPT
• Wilson Counseling, PLLC

• General Practice Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.