MR. JOHN RICHARD WILLIAMS I


Address: 655 Jesse Jewell Pkwy Se, Suite B, Gainesville, GA 30501
Phone: 7705327092

MR. JOHN RICHARD WILLIAMS I (NPI# 1396141974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396141974
Entity Type Individual
Full Name MR. JOHN RICHARD WILLIAMS I
Credential PA-C
Practice Address 655 Jesse Jewell Pkwy Se
Suite B
Gainesville
GA 30501
Mailing Address Po Box 658
Gainesville
GA 30503-0658
Practice Telephone 7705327092
Practice Fax Number 7705360383
Mailing Telephone 7707181122
Mailing Fax Number 7705334786
Enumeration Date 2014-11-10
Last Update Date 2019-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 7425 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
007425 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003153646H 05
GA AMERIGROUP 06705493 01
GA WELLCARE 1819077 01
GA 003153646G 05
GA 003153646J 05
GA 003153646K 05
GA 003153646L 05
GA 003153646I 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
367 Clear Creek Pkwy, Lavonia, GA 305534173 7706544682
1400 River Pl, Braselton, GA 305175600 7705327092 7705360383
743 Spring St Ne, Gainesville, GA 305013899 7705327092 7705360383
725 Jesse Jewell Pkwy Se, Gainesville, GA 305013834 7705327092 7705360383
1945 Beverly Rd, Gainesville, GA 305012034 7705337092 7705360383
1270 Friendship Rd, Braselton, GA 305175608 6782074477 6782074478

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1942797477 John Matthew Williams Student in an Organized Health Care Education/Training Program 152 Edmonds Way, Clarksville, TN 37043-7422 2018-04-19
1427555424 John R Williams Counselor 338 3rd St Apt 2, Clifton, NJ 07011-3253 2018-04-07
1750756748 John Williams Counselor 200 Lakeview Dr Apt 2807, Natchitoches, LA 71457-5572 2015-12-02
1336536200 John Ross Williams Student in an Organized Health Care Education/Training Program 325 9th Ave Dept Of, Box 359924, Seattle, WA 98104-2420 2015-04-18
1285033621 John David Williams Dentist 5305 W Village Pkwy Ste 12, Rogers, AR 72758-8116 2014-08-21
1982003554 John Hyde Williams Family Medicine 502 Glen Arbor Ln, Grosse Pointe Woods, MI 48236-1506 2014-08-19

Office Location

Street Address 655 JESSE JEWELL PKWY SE
SUITE B
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356336606 James Ross Davis Specialist/Technologist 655 Jesse Jewell Pkwy Se, Gainesville, Gainesville, GA 30501-3722 2005-09-13
1053899682 Hugh Colby Cornelson Nurse Practitioner 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 2018-08-06
1033511209 Jeremiah John Spearman Physician Assistant 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 2014-09-19
1801146402 Karen Jeanette Freeman Nurse Practitioner 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501 2012-09-12
1417247073 Christopher David Thomas Physician Assistant 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 2011-04-15
1861647836 Seth Abraham Alhadeff Physical Therapist 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 2008-11-18
1568627412 Jason Jamesryan Rutland Nierenhausen Specialist/Technologist 655 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3756 2008-07-21
1780847699 Trevor Frederick Ezzell Nurse Practitioner 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 2008-07-10
1609049089 Kelly Everett Hemphill Physician Assistant 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 2008-04-08
1740452465 Diane C Kelly Dmd, PC Dentist 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2008-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659806248 Bluff Drive Medical Physician Assistant 954 Memorial Dr, Gainesville, GA 30501-2334 2017-04-21
1891085692 Brevard Surgical Solutions L.L.C. Physician Assistant 11302 Nw 31st Rd, Gainesville, FL 32606-6840 2011-04-13
1700180627 Julie Marie Haberski Physician Assistant 5630 Chestatee Landing Dr, Gainesville, GA 30506-6815 2011-01-06
1902853286 Jean Dietrich Megenity Physician Assistant 10026 Nw 12th Ln, Gainesville, FL 32606-8017 2006-05-30
1366417149 James William Becker Physician Assistant 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501-3466 2006-02-23
1578547832 Dawn M Ferrer Physician Assistant 1296 Sims St Ste B, Gainesville, GA 30501-3873 2005-12-01
1962000950 Kelli O'shaughnessy Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-13
1346847944 Nicholas Scott Duarte Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-06
1023643251 Robert J Poole Physician Assistant 743 Spring St Ne, Gainesville, GA 30501-3899 2020-03-09
1912541533 Samantha Morgan Kleiber Physician Assistant 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 2019-11-06
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Competitor

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City GAINESVILLE
Zip Code 30501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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