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DR. JERRY D WILLIAMS II FNP-C
NPI 1073035168
Nurse Practitioner - Family in Holly Springs, MS

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635(662) 274-3212(662) 274-3213 Get Directions Write a Review

NPPES record last updated: July 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2022, Mar 3, 2020, Feb 12, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Jerry D Williams Ii Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY D WILLIAMS II FNP-C (NPI 1073035168) is an individual family provider in Holly Springs, Mississippi, licensed in Mississippi (902114) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073035168
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JERRY D WILLIAMS IICredential: FNP-C
Location Address130 W VAN DORN AVEHolly Springs, MS 38635-2902
Mailing Address130 W Van Dorn AveHolly Springs, MS 38635-2902 · (662) 274-3212 · Fax (662) 274-3213
Phone(662) 274-3212
Fax(662) 274-3213
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 11, 2017
Last NPPES UpdateJuly 17, 20226 updates tracked since enumeration
NPPES CertifiedJuly 17, 2022
✔ NPI 1073035168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 902114✔ Licensed in AR · A005207
130 W VAN DORN AVE, Holly Springs, MS 38635
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1340 Stateline Rd WSouthaven, MS 38671 · Phone (662) 579-3955
Location 2130 W Van Dorn AveHolly Springs, MS 38635-2902 · Phone (662) 274-3212 · Fax (662) 274-3213
Location 3812B Newman DrHelena, AR 72342 · Phone (870) 338-8312

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry D Williams Ii Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618239682
PECOS Enrollment IDI20200331003062
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
214 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services60 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
151 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
89 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$187.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE CRAGON RANDOLPH OD
Optometrist
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-3323
HOLLY SPRINGS EYECARE PLLC
Optometrist
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-3323
HEARTLAND FAMILY MEDICAL
Nurse Practitioner (Family)
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 274-3212
HOLLY SPRINGS FAMILY MEDICAL LLC
Nurse Practitioner (Family)
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 274-3212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Williams's NPI number?

The NPI number for Jerry Williams is 1073035168. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Jerry Williams located?

Jerry Williams practices at 130 W Van Dorn Ave, Holly Springs, MS 38635. The listed phone number is (662) 274-3212.

What is Jerry Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jerry Williams enrolled in Medicare?

Yes. Jerry Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jerry Williams accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Jerry Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jerry Williams affiliated with any hospitals?

According to CMS data, Jerry Williams is affiliated with Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Jerry Williams was last updated on July 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.