Jeremy Scott Williams, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23084 Issued in WV

Practice address

1 Garton PLZ
Weston, WV 26452-2128

Phone

(304) 517-1301

Fax

(304) 517-1304

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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 Practice

Education

West Virginia School of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williams Family Practice PLLCGroup PAC ID 2567619141, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
• Stonerise Home Health Home health agency, Morgantown, WV, CCN 517810
• Stonewall Jackson Memorial Hospital Company Hospital, Weston, WV, CCN 510038
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Williams Family Practice PLLC

  • Family Medicine Physician
  • Weston, WV
  • NPI 1780945907
  Medicare reassignment Care Compare group NPD Authorized official
• Court Leasing Co. LLC

  • Skilled Nursing Facility
  • Jane Lew, WV
  • NPI 1669176715
  NPD (past)

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

• Stonerise Reliable Healthcare LLC

  • Home Health Agency
  • Morgantown, WV
  • NPI 1881051233
  Care Compare affiliation
• Stonewall Jackson Memorial Hospital Company

  • Rural Acute Care Hospital
  • Weston, WV
  • NPI 1477559433
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1922212117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-517-1301",
            "fax_number": "304-517-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-517-1301",
            "fax_number": "304-517-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI7400611",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015258",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williams Family Practice PLLC
• Abbie Williams, LPC
• Alicia Williams
• Christina Lynne Williams
• James Joseph Williams
• Joshua James Williams
• Kristy Charlene Wilson
• Ryan Patrick Wilson, LSW
• Crystal Wilt
• Dustin Nikolas Winters

• Family Medicine Physician in Weston, WV
• Providers in Weston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.