Individual provider Active NPI

Danarius Williams, MD

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1972546901
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16326 Issued in MS
Practice address
969 Lakeland Dr
Jackson, MS 39216-4606
Phone
(601) 200-2000
Fax
(706) 660-1454
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16326 MS Primary

Addresses

Primary practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Mailing address

PO Box 22670
Jackson, MS 39225-2670
Phone (800) 749-2940

Other identifiers 2

IdentifierTypeStateIssuer
00125405MedicaidMS
09014778MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20050411000922 MS Practitioner - Emergency Medicine 5496792525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchez HB Medical Services LLCGroup PAC ID 8921461286, 30 clinicians

Practice addresses (Care Compare)

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.84 of 100Reported as group
Quality
26.67
Improvement activities
40
Cost
80.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13463LAMDPharmacist
16326MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natchez HB Medical Services LLC Emergency Medicine CurrentSince Oct 28, 2023 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Apr 28, 2018 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Dec 16, 2023 Accepting new patients
Sterling Emergency Services of Mississippi, Inc Emergency Medicine Past Accepting new patients
Finest Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

129 Jefferson Davis Blvd
Natchez, MS 39120
Phone (601) 445-6200

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Organizations & group practices 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1972546901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22670",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252670",
            "telephone_number": "800-749-2940",
            "fax_number": "706-660-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164606",
            "telephone_number": "601-200-2000",
            "fax_number": "706-660-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANARIUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "16326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125405",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014778",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.