MR. JAMES RUSSELL WILLIAMS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043309560

MR. JAMES RUSSELL WILLIAMS (CRNA) is a healthcare provider. based in Evans, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN11029010 (FL). The NPI Number for MR. JAMES RUSSELL WILLIAMS (CRNA) is 1043309560

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES RUSSELL WILLIAMS (CRNA)
NPI
1043309560
Phone
(706) 228-1724
Address
106 POND VIEW RD
Enumeration Date
12 October 2006
Last Update Date
12 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864254000
Graduation Year
1998 (28 years ago)
PAC ID
7416844626
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20231110000122
Address ID
FL321142709DA303XXBLVD534
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MR. JAMES RUSSELL WILLIAMS (CRNA)

  • 106 POND VIEW RD

    EVANS, GA 308096682

    Phone: (706) 228-1724

    Type: Mailing

  • 1890 Lpga Blvd

    Daytona Beach, FL 321177130

    Phone: (386) 425-3232

    Type: Location

  • 1041 Dunlawton Ave

    Port Orange, FL 321277968

    Phone: (352) 425-4700

    Type: Location

  • 311 N Clyde Morris Blvd

    Daytona Beach, FL 321142781

    Phone: (386) 425-4000

    Type: Location

  • 301 Memorial Medical Pkwy

    Daytona Beach, FL 321175167

    Phone: (386) 231-6000

    Type: Location

  • PO BOX 100254

    GAINESVILLE, FL 326100254

    Phone: (352) 273-8610

    Fax: (352) 273-8612

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326106682

    Phone: (352) 273-8610

    Fax: (352) 273-8612

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

3

Earliest due date

2023-12-31

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
I20040302001173ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20051201000220ICertified Registered Nurse Anesthetist (Crna)GA2023-12-31
I20231110000122ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
00142Anesthesia for lens surgery3633$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope2121$0
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

How is MR. JAMES RUSSELL WILLIAMS (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MR. JAMES RUSSELL WILLIAMS (CRNA) with NPI 1043309560.
Does the file indicate MR. JAMES RUSSELL WILLIAMS (CRNA) is practicing under active NPI?
Directory data currently reports MR. JAMES RUSSELL WILLIAMS (CRNA) as active.
What healthcare role does MR. JAMES RUSSELL WILLIAMS (CRNA) hold?
Scheduling teams often label MR. JAMES RUSSELL WILLIAMS (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JAMES RUSSELL WILLIAMS (CRNA)?
MR. JAMES RUSSELL WILLIAMS (CRNA)'s geographic hint is Evans, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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