Individual provider Active NPI

Jeremy Scott Williamson, D.O.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1619401122
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9014 Issued in TX
Practice address
2000 Transmountain Rd
El Paso, TX 79911-3601
Phone
(915) 877-8136
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X R9014 TX Primary

Addresses

Primary practice location

2000 Transmountain Rd
El Paso, TX 79911-3601

Mailing address

5250 Hunters Glenn CT
El Paso, TX 79932-3149

Other practice location 1

1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 521-1200

Other practice location 2

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20191127001999 TX Practitioner - Emergency Medicine 4486086899 Reassigns benefits to 5 organizations
I20241226001781 NM Practitioner - Emergency Medicine 4486086899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

12101 Edgemere Blvd
El Paso, TX 79938-4746
Phone (915) 921-6610

1521 Joe Battle Blvd
Suite B
El Paso, TX 79936-0922
Phone (915) 544-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9014TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Hospital District of Gaines County Texas Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Presbyterian Healthcare Services Single Specialty CurrentSince Dec 16, 2024 Accepting new patients
Cep America LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Core Medical Services PLLC Current Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Sep 1, 2021 Accepting new patients
Presbyterian Healthcare Services Single Specialty Current Accepting new patients
Presbyterian Healthcare Services Single Specialty CurrentSince Dec 16, 2024 Accepting new patients
Pearsall Emergency Medicine Associates, PA Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Emergency Services of Texas PA Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
Cep America LLC Single Specialty Current Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients
C3Erow, LLC Single Specialty Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1521 Joe Battle Blvd
Ste B
El Paso, TX 79936
Phone (915) 521-7798

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

12101 Edgemere Blvd
El Paso, TX 79938
Phone (915) 832-2490

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Interoperability endpoints

  • Direct secure messaging: jeremy.williamson@direct.myhealthep.org
  • Direct secure messaging: jwilliamson260550@direct.phs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1619401122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 HUNTERS GLENN CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799323149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TRANSMOUNTAIN RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113601",
            "telephone_number": "915-877-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023524",
            "country_code": "US",
            "telephone_number": "915-521-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R9014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.