JAMISON WILLIAMS (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1134594187
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAMISON WILLIAMS (AGACNP-BC)
700 SHADY STONE WAY
LEBANON, TN 370901100
Phone: (731) 608-7498
Type: Mailing
6001 E BROAD ST
COLUMBUS, OH 432131502
Phone: (614) 234-7636
Type: Location
1284 HAVENHURST DR APT 104
WEST HOLLYWOOD, CA 900464938
Phone: (731) 608-7498
Type: Mailing
8000 SUNSET BLVD STE B200, #41
WEST HOLLYWOOD, CA 900469004
Phone: (731) 608-7498
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,125.
Total Amount is formed as General ($1,125) + Research ($0) + Ownership ($0) = $1,125.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($702).
Total Amount
$1,125
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $702 |
| Galderma Laboratories, L.P. | $282 |
| Merz North America, Inc. | $141 |
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: 2017-04-11
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 |
|---|---|---|---|---|
| I20170411001964 | I | Nurse Practitioner | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Gastroenterology, Internal Medicine | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| Internal Medicine, Infectious Disease | GA |
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