Active NPI
Jimwesley Williams
- Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R01146
- Practice address
- 1225 N State St
Jackson, MS 39202-2064 - Phone
- (601) 759-0647
- NPI assigned
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R01146 | MS | Primary |
Addresses
Primary practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
1225 N State St
Jackson, MS 39202-2064
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000
2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-1000
Hospital & facility affiliations
- BMH-Golden Triangle
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.9 of 100
- Quality
- 80.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R01146 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Physicians, LLP | Nurse Practitioner | Current | Accepting new patients |
| Bear Creek Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| United Emergency Services of Mississippi | Nurse Practitioner | Current | Accepting new patients |
| Mississippi Physicians LLP | Current | Accepting new patients |
Locations
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
Interoperability endpoints
- jwilliams578646@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1750252623
Nurse Practitioner
-
- Emergency Medicine Physician
- Columbus, MS
- NPI 1801983309
Nurse Practitioner
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1619682895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022064",
"telephone_number": "601-759-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JIMWESLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R01146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.