Individual provider Active NPI

Juliana Williamson, M.D.

  • Family Medicine Physician
  • La Follette, TN
National Provider Identifier
1831183235
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41101 Issued in TN
Practice address
109 Independence LN Ste 200
La Follette, TN 37766-3034
Phone
(423) 562-4968
Fax
(423) 562-5603
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41101 TN Primary

Addresses

Primary practice location

109 Independence LN Ste 200
La Follette, TN 37766-3034

Mailing address

109 Independence LN Ste 200
La Follette, TN 37766-3034
Phone (423) 562-4968

Other identifiers 1

IdentifierTypeStateIssuer
41101OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060714000023 TN Practitioner - Family Practice 7517996333 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41101TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System, Inc CurrentSince Dec 1, 2018 Accepting new patients
University Health System Inc CurrentSince Dec 1, 2018 Accepting new patients
DX Mso, PLLC CurrentSince Jan 29, 2022 Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Indiana Health Centers Inc Past Accepting new patients
St. Mary's Medical Center of Campbell County, Inc. Past Accepting new patients
Hardeman County Community Health Center Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

109 Independence Ln
Ste 300
La Follette, TN 37766
Phone (423) 562-4577

109 Independence Ln
Ste 200
La Follette, TN 37766
Phone (423) 562-4968

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1831183235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 INDEPENDENCE LN STE 200",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663034",
            "telephone_number": "423-562-4968",
            "fax_number": "423-562-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 INDEPENDENCE LN STE 200",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663034",
            "telephone_number": "423-562-4968",
            "fax_number": "423-562-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JULIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "41101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.