JAMES DALE JR. WILLIAMSON (PA-C) – Medical Physician Assistant, NPI 1306072046

JAMES DALE JR. WILLIAMSON (PA-C) is a healthcare provider. based in Stockton, California. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. The NPI Number for JAMES DALE JR. WILLIAMSON (PA-C) is 1306072046

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JAMES DALE JR. WILLIAMSON (PA-C)
NPI
1306072046
Phone
(209) 467-4544
Address
7707 AUSTIN RD
Enumeration Date
9 June 2009
Last Update Date
7 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095266400
Graduation Year
2009 (17 years ago)
PAC ID
9032397104
Group Practice PAC ID
3476899139
Professional Enrollment ID
I20110621000439
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

Provider Addresses for JAMES DALE JR. WILLIAMSON (PA-C)

  • 7707 AUSTIN RD

    STOCKTON, CA 952158312

    Phone: (209) 467-4544

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,137.

Total Amount is formed as General ($1,137) + Research ($0) + Ownership ($0) = $1,137.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Corcept Therapeutics ($433).

Total Amount

$1,137

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110621000439IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making10191$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3227$0
99283Emergency department visit with low level of medical decision making1514$0
99285Emergency department visit with high level of medical decision making1211$0
View full utilization report →

Insurance plans in this area (ZIP 95215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476899139View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to JAMES DALE JR. WILLIAMSON (PA-C)?
NPI 1306072046 is assigned to JAMES DALE JR. WILLIAMSON (PA-C) under the national enumeration system.
Is JAMES DALE JR. WILLIAMSON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JAMES DALE JR. WILLIAMSON (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JAMES DALE JR. WILLIAMSON (PA-C). Clinical services aligned with this taxonomy classification.
Where is JAMES DALE JR. WILLIAMSON (PA-C)'s primary listing?
We display Stockton, California because that is what the record indicates for JAMES DALE JR. WILLIAMSON (PA-C).
Is JAMES DALE JR. WILLIAMSON (PA-C) a real provider?
This page reflects official NPPES data for NPI 1306072046. Always confirm identity and privileges with the practice and licensing boards.

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