Jason James Williams, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1St Battalion, 9TH Marines
PSC Box 20112
Camp Lejeune, NC 28542-0112

Phone

(910) 450-6389

Fax

(910) 450-6397

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821209875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CORBIN ST",
            "address_2": "APT D2",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467828",
            "telephone_number": "910-353-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST BATTALION, 9TH MARINES",
            "address_2": "PSC BOX 20112",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420112",
            "telephone_number": "910-450-6389",
            "fax_number": "910-450-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Allen Wilkins, DNP, CRNA
• Timothy Marc Wilks, M.D.
• Austin Willard, SOIDC
• Peter Willett, M.D.
• Ameliann B Williams, MD
• Necia L Williams, M.D.
• Benjamin Carl Willis, RN, BSN
• Laura Wilmott, FNP
• Lela Wilson-Hammel
• Christopher E Wilson, M.D., M.P.H.

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.