Individual provider Active NPI

Jerry Brent Williams, M.D.

  • Cardiovascular Disease Physician
  • Sheffield, AL
National Provider Identifier
1699746552
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11854 Issued in AL
Practice address
1120 S Jackson Hwy
Suite 204
Sheffield, AL 35660-5777
Phone
(256) 381-8811
Fax
(256) 381-5151
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11854 AL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 11854 AL

Addresses

Primary practice location

1120 S Jackson Hwy
Suite 204
Sheffield, AL 35660-5777

Mailing address

930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 539-4080

Other identifiers 14

IdentifierTypeStateIssuer
25-10012OtherUNITED HEALTHCARE
07887859MedicaidMS
112590MedicaidAL
112603MedicaidAL
4198103OtherAETNA
510-49320OtherALBCBS
510-49461OtherALBCBS
51049461OtherALBCBS
51521840OtherALBCBS
P00138871OtherRAILROAD MEDICARE
P00742166OtherALRAILROAD MEDICARE
009954995MedicaidAL
112594MedicaidAL
510-49319OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040717000046 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901885433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Heart Center, LLCGroup PAC ID 1951694678, 94 clinicians

Practice addresses (Care Compare)

1100 S Jackson Hwy
Suite 104
Sheffield, AL 35660-5769
Phone (256) 381-8811

1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (256) 533-3388

930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 539-4080

Hospital & facility affiliations

  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11854ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HH Heart Center, LLC Cardiovascular Disease CurrentSince Sep 1, 2016 Accepting new patients

Locations

930 Franklin St SE
Huntsville, AL 35801

1100 S Jackson Hwy
Ste 104
Sheffield, AL 35660
Phone (256) 381-0030

Organizations & group practices 1

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 2

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1699746552",
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        {
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            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-539-4080",
            "fax_number": "256-539-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 204",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-381-8811",
            "fax_number": "256-381-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JERRY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
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            "license": "11854",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
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            "primary": false
        }
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        {
            "code": "01",
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            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00138871",
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        {
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        {
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            "issuer": null,
            "identifier": "112594",
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        {
            "code": "01",
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            "issuer": "BCBS",
            "identifier": "510-49319",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.