MR. JOHN RICHARD I WILLIAMS (PA-C) – Physician Assistant, NPI 1396141974
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. JOHN RICHARD I WILLIAMS (PA-C)
655 JESSE JEWELL PKWY SE
SUITE B
GAINESVILLE, GA 30501
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
725 Jesse Jewell Pkwy SE
Gainesville, GA 305013834
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
1270 Friendship Rd
Braselton, GA 305175608
Phone: (678) 207-4477
Fax: (678) 207-4478
Type: Location
1945 Beverly Rd
Gainesville, GA 305012034
Phone: (770) 533-7092
Fax: (770) 536-0383
Type: Location
1400 River Pl
Braselton, GA 305175600
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
743 Spring St NE
Gainesville, GA 305013899
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
189 BO JAMES ST STE 105
CLAYTON, GA 305256199
Phone: (706) 782-0016
Fax: (706) 782-0180
Type: Mailing
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
367 Clear Creek Pkwy
Lavonia, GA 305534173
Phone: (770) 654-4682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Abbott Laboratories ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $21 |
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: 2023-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200325000392 | I | Physician Assistant | GA | TBD |
| I20231031000424 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 144 | 140 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 144 | 141 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 54 | 54 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 23 | 23 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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