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JEREMY MICHAEL WILLIAMS DO
NPI 1154025310
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Active since March 29, 2023PECOS Enrolled
4052 BALD CYPRESS WAY BIN C 06, TALLAHASSEE, FL 32399(850) 509-1215 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeremy Michael Williams Do NPPES

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

JEREMY MICHAEL WILLIAMS DO (NPI 1154025310) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1154025310
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY MICHAEL WILLIAMSCredential: DO
Location Address4052 BALD CYPRESS WAY BIN C 06Tallahassee, FL 32399-0001
Mailing Address4052 Bald Cypress Way Bin C 06Tallahassee, FL 32399-0001 · (850) 509-1215
Phone(850) 509-1215
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1154025310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4052 BALD CYPRESS WAY BIN C 06, Tallahassee, FL 32399
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Michael Williams Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719346261
PECOS Enrollment IDI20260608002931
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
153 mi
Nephrology
655 W 8TH ST, UFJP NEPHROLOGY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1295995561 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeremy Williams's NPI number?

The NPI number for Jeremy Williams is 1154025310. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Jeremy Williams located?

Jeremy Williams practices at 4052 Bald Cypress Way Bin C 06, Tallahassee, FL 32399. The listed phone number is (850) 509-1215.

What is Jeremy Williams's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Williams enrolled in Medicare?

Yes. Jeremy Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Williams reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Williams was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.