Dr Jerry V Williams a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

017104 Issued in LA

Legal business name

DR JERRY V WILLIAMS A PROFESSIONAL MEDICAL CORPORATION

Practice address

317 W Ascension St
Gonzales, LA 70737-2805

Phone

(225) 647-9297

Fax

(225) 647-3784

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry V. Williams, M. D.NPI 1447317722

Title

Owner

Phone

(225) 647-9297

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Valentine Williams, M.D

  • Internal Medicine Physician
  • Gonzales, LA
  • NPI 1447317722
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1780882290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W ASCENSION ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372805",
            "telephone_number": "225-647-9297",
            "fax_number": "225-647-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W ASCENSION ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372805",
            "telephone_number": "225-647-9297",
            "fax_number": "225-647-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JERRY V WILLIAMS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-647-9297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347353",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tisha Dooley, CFNP
• Sarah Dottolo, FNP-C
• DP2 Enterprise LLC
• Dr Johnnie Lynn Hunt LLC
• Dr Lisa Bailey DDS, Apdc
• Dr Phillip and Vera Smith LLC
• Dr R B Vanbreemen LTD Apc
• Dr. Lisa Bailey

• Internal Medicine Physician in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.