Individual provider Active NPI

Justin Charles Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Marble Falls, TX
National Provider Identifier
1902294937
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP127350 Issued in TX
Practice address
810 W Highway 71
Marble Falls, TX 78654-8602
Phone
(830) 201-8000
NPI assigned
Dec 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 776050 TX
Certified Registered Nurse Anesthetist 367500000X AP127350 TX Primary

Addresses

Primary practice location

810 W Highway 71
Marble Falls, TX 78654-8602

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilliams1313209@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423002389 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486972478 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

800 W Hwy 71
Baylor Scott and White Specialty Clinic
Marble Falls, TX 78654-8602
Phone (830) 201-7100

810 W Hwy 71
Marble Falls, TX 78654-8602
Phone (830) 201-7100

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
776050TXMDCertified Registered Nurse Anesthetist
AP127350TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott and White Clinic CurrentSince Apr 18, 2024 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 21, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 29, 2023 Accepting new patients
Scott & White Clinic Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2024 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2015 Accepting new patients
Scott & White Clinic CurrentSince Apr 18, 2024 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Mar 16, 2015 Accepting new patients

Locations

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

8140 N Mopac Expy
Ste 3210
Austin, TX 78759
Phone (512) 343-2292

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: jwilliams1313209@direct.sw.org

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1902294937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W HIGHWAY 71",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786548602",
            "telephone_number": "830-201-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUSTIN",
        "middle_name": "CHARLES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "776050",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP127350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilliams1313209@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "810 W Highway 71",
            "city": "Marble Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786548602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.