Individual provider Active NPI

Homer Herbert Williams Jr., MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1962421586
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09007R Issued in LA
Practice address
2750 Aster St
Lake Charles, LA 70601-8824
Phone
(337) 480-8900
Fax
(337) 480-8901
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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 09007R LA Primary

Addresses

Primary practice location

2750 Aster St
Lake Charles, LA 70601-8824

Mailing address

2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900

Other identifiers 1

IdentifierTypeStateIssuer
1928534MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040421001046 LA Practitioner - Family PracticePractitioner - Emergency Medicine 4183610603 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

2633 Napoleon Ave
Suite 400
New Orleans, LA 70115-6340
Phone (504) 897-3305

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09007RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Physicians PLLC CurrentSince Oct 5, 2019 Accepting new patients
Capital City Medical Group, L.L.C. Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 5, 2019 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 5, 2019 Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
St Helena Parish Hospital CurrentSince Dec 31, 2019 Accepting new patients
St. Helena Parish Hospital CurrentSince Dec 31, 2019 Accepting new patients
Rapid Urgent Care, Inc CurrentSince Dec 1, 2019 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
St Helena Parish Hospital Current Accepting new patients
Pioneer Physician Services PA Past Accepting new patients
Imperial Health LLP Family Medicine Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

2633 Napoleon Ave
Ste 400
New Orleans, LA 70115
Phone (504) 897-3305

2170 Gause Blvd W
Ste 101
Slidell, LA 70460
Phone (975) 326-8075

Organizations & group practices 15

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.

View all 15

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1962421586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 ASTER ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018824",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ASTER ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018824",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HOMER",
        "middle_name": "HERBERT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "09007R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928534",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.