MR. DERAY JUNIOR WILLIAMS (CRNP) – Family Nurse Practitioner, NPI 1073067856
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MR. DERAY JUNIOR WILLIAMS (CRNP)
1230 Carmichael Way
Montgomery, AL 361063671
Phone: (334) 277-7665
Fax: (334) 277-7142
Type: Location
875, Friendship Road, Jordanville, Tallassee, Elmore County, Alabama, 36078, United States
TALLASSEE, AL 360781255
Phone: (337) 283-3111
Fax: (334) 283-1060
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $3,289.
Total Amount is formed as General ($3,289) + Research ($0) + Ownership ($0) = $3,289.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($447).
Total Amount
$3,289
General + Research + Ownership
Payments
83
Total payment records
General Amount
$3,289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $447 |
| Phathom Pharmaceuticals, Inc. | $277 |
| GlaxoSmithKline, LLC. | $260 |
| Teva Pharmaceuticals USA, Inc. | $224 |
| Otsuka America Pharmaceutical, Inc. | $191 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161025001455 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 61 | 23 | $0 |
| 81003 | Automated urinalysis test | 56 | 46 | $0 |
| 83036 | Hemoglobin a1c level | 39 | 24 | $0 |
Insurance plans in this area (ZIP 36106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| - | AL | |
| Family Practice | GA | |
| Gastroenterology, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| General Surgery | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
Reviews
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