ERIC WILLIAMS (MD) – Diagnostic Radiology Physician, NPI 1407235880

ERIC WILLIAMS (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 69384 (TN). The NPI Number for ERIC WILLIAMS (MD) is 1407235880

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ERIC WILLIAMS (MD)
NPI
1407235880
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
19 May 2015
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4072002355
Graduation Year
2015 (11 years ago)
PAC ID
3476865270
Group Practice PAC ID
0042383200
Professional Enrollment ID
I20231127000731
Address ID
TN372034551NA406XXNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for ERIC WILLIAMS (MD)

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone:

    Type: Mailing

  • 1000 WATERMAN WAY

    TAVARES, FL 327785266

    Phone: (352) 253-3333

    Fax: (317) 705-5047

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: HeartFlow, Inc. ($78).

Total Amount

$130

General + Research + Ownership

Payments

5

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

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: 2025-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20200706000041IDiagnostic RadiologyFLTBD
I20231127000731IDiagnostic RadiologyTNTBD
I20250312000562IDiagnostic RadiologyKYTBD

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
74177Ct scan of abdomen and pelvis with contrast233232$0
93970Ultrasound study of arm or leg veins with compression and maneuvers125122$0
71045X-ray of chest, 1 view110110$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers8989$0
74176Ct scan of abdomen and pelvis without contrast7170$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 0042383200View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Radiation OncologyFL
-MN
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyFL
Radiation OncologyWA
-FL
-FL
Interventional RadiologyFL

Reviews

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Frequently asked questions

Can I cross-check ERIC WILLIAMS (MD) using NPI 1407235880?
NPI 1407235880 belongs to ERIC WILLIAMS (MD); compare other details if you need extra assurance.
Is ERIC WILLIAMS (MD) still an active registrant?
ERIC WILLIAMS (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for ERIC WILLIAMS (MD)?
At a glance, ERIC WILLIAMS (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is ERIC WILLIAMS (MD) associated with Jacksonville?
Public fields place ERIC WILLIAMS (MD) around Jacksonville, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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