Michael R. Williams, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R754167 Issued in MS

Practice address

1850 Chadwick Dr
Jackson, MS 39204-3404

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

Jun 16, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.williams.1@15204.direct.athenahealth.com

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.

• Big Horn Hospital Association

  • Critical Access Hospital
  • Hardin, MT
  • NPI 1891713533
  Medicare reassignment NPD
• Iliuliuk Family and Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Unalaska, AK
  • NPI 1376520692
  Medicare reassignment NPD
• Memorial Hospital Association

  • Primary Care Clinic/Center
  • Red Lodge, MT
  • NPI 1184785099
  Medicare reassignment NPD
• Peak Health & Wellness, LLC

  • Urgent Care Clinic/Center
  • Belgrade, MT
  • NPI 1073669461
  Medicare reassignment NPD
• Pioneer Medical Center

  • Critical Access Hospital
  • Big Timber, MT
  • NPI 1003939190
  Medicare reassignment NPD
• Rosebud Community Hospital Inc

  • Critical Access Hospital
  • Forsyth, MT
  • NPI 1194827451
  Medicare reassignment NPD
• Townsend Health Systems, Inc.

  • Critical Access Hospital
  • Townsend, MT
  • NPI 1447245857
  Medicare reassignment NPD
• Stillwater Hospital Association, Inc.

  • Critical Access Hospital
  • Columbus, MT
  • NPI 1053488387
  Medicare reassignment
• Big Horn Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Hardin, MT
  • NPI 1457441651
  NPD
• Memorial Hospital Association

  • Critical Access Hospital
  • Red Lodge, MT
  • NPI 1336119338
  NPD
• Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Red Lodge, MT
  • NPI 1952479537
  NPD
• Townsend Health Systems Inc,

  • Physician Assistant
  • Townsend, MT
  • NPI 1205175700
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1861436990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460588",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R754167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "202011213A",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08221076",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "582446825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Fay Williams
• Lindley Kathryn Williams
• Malik Williams
• Marie Jaqueline Williams, NP
• Maurice Williams, PH.D.
• Mittie H Williams
• Morgan Kaye Williams
• Natasha Williams
• Nilda Maria Williams, M.D.
• Patricia Ann Williams, MSW, PCMHT

• Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.