WILLIAMSON MEMORIAL, INC.
NPI 1174345243
Emergency Medicine in Williamson, WV

Q: What is Williamson Memorial, Inc.'s NPI number?

The NPI number for Williamson Memorial, Inc. is 1174345243. It was assigned to this organization in the NPPES registry on October 29, 2024. The provider is also known as WM Professional Group.

Q: What is Williamson Memorial, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since October 29, 2024

859 ALDERSON ST, WILLIAMSON, WV 25661(304) 235-2500(304) 209-7094 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Williamson Memorial, Inc. NPPES

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

WILLIAMSON MEMORIAL, INC. (NPI 1174345243) is a healthcare organization registered as an emergency medicine in Williamson, West Virginia and active in the NPI registry since October 2024. The organization lists David Jewell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174345243

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameWILLIAMSON MEMORIAL, INC.

Location Address859 ALDERSON STWilliamson, WV 25661-3215

Mailing AddressPo Box 1038Williamson, WV 25661-1038 · (606) 369-5753

Phone(304) 235-2500

Fax(304) 209-7094

Organization SubpartYesParent: Williamson Memorial, Inc

Authorized OfficialDavid JewellCfo · (304) 236-5902

Enumeration DateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1174345243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

859 ALDERSON ST, Williamson, WV 25661

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Other Names 1

Other NameWm Professional Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Williamson Memorial, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Williamson Memorial, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner7

Family Practice2

Emergency Medicine1

Internal Medicine1

Pediatric Medicine1

Podiatry1

Clinicians, nearest first (13)

Muneel Abbas, MD

Family Practice

NPI 1740404375

859 ALDERSON ST STE 1000
Williamson, WV 25661

(304) 236-5902

✔ PECOS✔ Accepts MedicareSame address

Traci Thornsbury, APRN

Nurse Practitioner

NPI 1407209299

104 LOGAN ST STE A
Williamson, WV 25661

(304) 236-5902

✔ PECOS0.5 mi

Leo Pajarillo, M.D.

Pediatric Medicine

NPI 1497971212

186 E 2ND AVE STE 100
Williamson, WV 25661

(304) 236-5902

✔ PECOS0.5 mi

Rachel Baisden, APRN

Nurse Practitioner

NPI 1780649087

184 E 2ND AVE
Williamson, WV 25661

(304) 236-5902

✔ PECOS✔ Accepts Medicare0.5 mi

Ladina Fields, FNP

Nurse Practitioner

NPI 1497239487

184 E 2ND AVE STE 210
Williamson, WV 25661

(304) 236-5902

✔ PECOS0.5 mi

Christopher Beckett, DO

Internal Medicine

NPI 1174575898

184 E 2ND AVE SUITE 1
Williamson, WV 25661

(304) 235-1844

✔ PECOS✔ Accepts Medicare0.6 mi

Deborah Epling, FNP-C

Nurse Practitioner

NPI 1255705760

184 E 2ND AVE STE 210
Williamson, WV 25661

(304) 236-5902

✔ PECOS0.6 mi

Brian Francis, M.D.

Family Practice

NPI 1780663971

306 HOSPITAL DR STE 202C
South Williamson, KY 41503

(606) 237-1450

✔ PECOS1.4 mi

Ashley Johnson, FNP-C

Nurse Practitioner

NPI 1780364638

12 HODE RD
Warfield, KY 41267

(606) 390-2003

✔ PECOS✔ Accepts Medicare14 mi

Christopher Reynolds, D.O

Emergency Medicine

NPI 1366705543

911 BYPASS RD BLDG A
Pikeville, KY 41501

(606) 430-3500

✔ PECOS17 mi

Timothy Reed, FNP

Nurse Practitioner

NPI 1033398821

20 HOSPITAL DR
Logan, WV 25601

(304) 831-1188

✔ PECOS19 mi

Brandie Dotson, APRN

Nurse Practitioner

NPI 1528083813

911 BYPASS RD BLDG A
Pikeville, KY 41501

(606) 260-8613

✔ PECOS✔ Accepts Medicare20 mi

David Nielson, DPM

Podiatry

NPI 1053503961

222 WALNUT AVE SW
Roanoke, VA 24016

(540) 344-3668

✔ PECOS131 mi

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 Williamson Memorial, Inc.'s NPI number?

The NPI number for Williamson Memorial, Inc. is 1174345243. It was assigned to this organization in the NPPES registry on October 29, 2024. The provider is also known as WM Professional Group.

Where is Williamson Memorial, Inc. located?

Williamson Memorial, Inc. is located at 859 Alderson St, Williamson, WV 25661. The listed phone number is (304) 235-2500.

What is Williamson Memorial, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Williamson Memorial, Inc. enrolled in Medicare?

Yes. Williamson Memorial, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Williamson Memorial, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Williamson Memorial, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (2) and Emergency Medicine (1). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Williamson Memorial, Inc. was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.