Individual provider Active NPI

Jessica Danielle Williams, DO

  • Family Medicine Physician
  • Willow Park, TX
National Provider Identifier
1649533944
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10044700 Issued in TX
Practice address
5700 E Interstate 20 Service Rd S
Ste 100
Willow Park, TX 76008-5115
Phone
(817) 489-7300
Fax
(817) 489-7302
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10044700 TX Primary

Addresses

Primary practice location

5700 E Interstate 20 Service Rd S
Ste 100
Willow Park, TX 76008-5115

Mailing address

5700 E Interstate 20 Service Rd S
Ste 100
Willow Park, TX 76008-5115
Phone (817) 489-7300

Other names 1

  • Jessica Danielle Chandler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JESSICA.WILLIAMS@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150522002081 TX Practitioner - Family Practice 7113247685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
205 Lonestar Medical General Surgery
Granbury, TX 76048-5689
Phone (817) 489-7450

7777 Forest LN
Suite C300
Dallas, TX 75230-2514
Phone (972) 566-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.37 of 100Reported as group
Quality
68.64
Promoting interoperability
99
Improvement activities
40
Cost
73.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10044700TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Specialists, PLLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Timberland Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Timberland Medical Group Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Lonestar Provider Network Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000

1308 Paluxy Rd
Ste 205
Granbury, TX 76048
Phone (817) 489-7450

251 Crown Pointe Blvd
Willow Park, TX 76087
Phone (817) 489-7300

5700 E Interstate 20 Service Rd S
Ste 100
Willow Park, TX 76008
Phone (817) 489-7300

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.

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1649533944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 E INTERSTATE 20 SERVICE RD S",
            "address_2": "STE 100",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760085115",
            "telephone_number": "817-489-7300",
            "fax_number": "817-489-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E INTERSTATE 20 SERVICE RD S",
            "address_2": "STE 100",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760085115",
            "telephone_number": "817-489-7300",
            "fax_number": "817-489-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10044700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JESSICA.WILLIAMS@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5700 E Interstate 20 Service Rd S",
            "address_2": "STE 100",
            "city": "Willow Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760085115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHANDLER",
            "middle_name": "DANIELLE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willow Park, TX

Sources for this page

Verify at the official NPI Registry.