Active NPI
James Steven Williamson, M.D.
- Family Medicine Physician
- Huntingdon, TN
National Provider Identifier
1780600874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9019
- Practice address
- 641 RB Wilson Dr
Suite G
Huntingdon, TN 38344-1733 - Phone
- (731) 986-7400
- Fax
- (731) 986-7402
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9019 | TN | Primary |
Addresses
Primary practice location
641 RB Wilson Dr
Suite G
Huntingdon, TN 38344-1733
Mailing address
PO Box 405827
Atlanta, GA 30384-5800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4375721 | Other | AETNA | |
| 3164575 | Medicaid | TN | |
| 4099088 | Other | TN | BLUE CROSS BLUE SHIELD |
| 739049 | Other | UNITED HEALTHCARE | |
| 9296 | Other | TN | TLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9019 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1780600874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 RB WILSON DR",
"address_2": "SUITE G",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383441733",
"telephone_number": "731-986-7400",
"fax_number": "731-986-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "JAMES",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "9019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4375721",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3164575",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4099088",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "739049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "9296",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.