Jeremy Kirk McWilliams, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MO818 Issued in TX

Practice address

19782 Highway 105 West
Suite 111
Montgomery, TX 77356

Phone

(936) 582-0220

Fax

(936) 582-0222

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McWilliams Family Medicine PLLCGroup PAC ID 5294066213, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspire Hospital Hospital, Conroe, TX, CCN 670093
• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• McWilliams Family Medicine PLLC

  • Family Medicine Physician
  • Montgomery, TX
  • NPI 1962955864
  Medicare reassignment Care Compare group NPD Authorized official
• Texas Minor Emergency Center, LP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Magnolia, TX
  • NPI 1093808651
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspire Hospital, LLC

  • Psychiatric Hospital
  • Conroe, TX
  • NPI 1093955296
  Care Compare affiliation
• Aspire Hospital, LLC

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1114340080
  Care Compare affiliation
• Chca Conroe LP

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1851325823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 WEST",
            "address_2": "SUITE 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 WEST",
            "address_2": "SUITE 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77356",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "JEREMY",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "MO818",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175774201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie McCarter, PT, DPT
• Sarah McKelvey
• Hannah McKinnies, LMFT
• Ginger McMillian, FNP-C
• McWilliams Family Medicine PLLC
• Brian J Melancon, PT
• Melinda Jezierski, Mdpa
• Cecilia L. Melton, D.C.
• Memorial Hermann Surgery Center Woodforest LLC
• Dana Mendoza

• Family Medicine Physician in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.