Active NPI
Jason Paul Williams, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- OS12971
- Practice address
- 9077 S Federal Hwy
Port St Lucie, FL 34952-3405 - Phone
- (772) 335-4770
- Fax
- (772) 335-4133
- NPI assigned
- Apr 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS12971 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | OS12971 | FL | Primary |
Addresses
Primary practice location
9077 S Federal Hwy
Port St Lucie, FL 34952-3405
Mailing address
9077 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 335-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- West Virginia School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9077 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 398-7336
Hospital & facility affiliations
- Anchor Home Health Services, LLC
- Jupiter Medical Center
- Cleveland Clinic Martin North Hospital
- HCA Florida Lawnwood Hospital
- St Lucie Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12971 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark J Powers MD PA Florida Orthopaedic Specialists | Current | Accepting new patients | |
| Mark J Powers MD PA Florida Orthopaedic Specialists | Current | Accepting new patients |
Locations
9077 S US Highway 1
Port St Lucie, FL 34952
Phone (407) 335-4770
1151 SE Indian St
Stuart, FL 34997
Phone (772) 335-4770
Interoperability endpoints
- jwilliams@fos.gwaydirect.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Port St Lucie, FL
- NPI 1144284811
-
dba Florida Orthopaedic Specialists
- Orthopaedic Surgery Physician
- Stuart, FL
- NPI 1366947939
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sewalls Point, FL
- NPI 1174665293
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1689963134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9077 S FEDERAL HWY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349523405",
"telephone_number": "772-335-4770",
"fax_number": "772-335-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9077 S FEDERAL HWY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349523405",
"telephone_number": "772-335-4770",
"fax_number": "772-335-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JASON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS12971",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "OS12971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.