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FAYETTE CREED WILLIAMS D.D.S., M.D.
NPI 1215130810
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Active since June 09, 2007PECOS EnrolledAccepts Medicare Assignment
1625 SAINT LOUIS AVENUE, HOUSE STAFF & GME, FORT WORTH, TX 76104(817) 927-1325(817) 927-1035 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fayette Creed Williams D.d.s., M.d. NPPES

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

FAYETTE CREED WILLIAMS D.D.S., M.D. (NPI 1215130810) is an individual oral and maxillofacial surgery provider in Fort Worth, Texas, licensed in Texas (21161) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2005).

NPPES Registry Identity

NPI1215130810
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameFAYETTE CREED WILLIAMSCredential: D.D.S., M.D.
Location Address1625 SAINT LOUIS AVENUE, HOUSE STAFF & GMEFort Worth, TX 76104
Mailing Address1625 Saint Louis Avenue, House Staff & GmeFort Worth, TX 76104 · (817) 927-1325 · Fax (817) 927-1035
Phone(817) 927-1325
Fax(817) 927-1035
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2005
Enumeration DateJune 9, 2007
Last NPPES UpdateJuly 22, 2011
✔ NPI 1215130810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 21161
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1625 SAINT LOUIS AVENUE, Fort Worth, TX 76104
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fayette Creed Williams D.d.s., M.d. 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 ID4688706849
PECOS Enrollment IDI20100723000312
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 Fayette Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral & Maxillofacial Network, P.L.L.C.
Same address
Oral and Maxillofacial Surgery
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Oral & Maxillofacial Network PLLC
  • 11 clinicians in this Medicare group
NPI 1417170655 (817) 920-6936

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

Areas of Expertise CMS Part B claims 2

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.

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.
60 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MR. LACHLAN CHRISTIAN MCLEAN D.M.D
Student in an Organized Health Care Education/Training Program
1625 SAINT LOUIS AVENUE
FORT WORTH, TX 76104
Tarrant County (817) 920-6936

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 Fayette Williams's NPI number?

The NPI number for Fayette Williams is 1215130810. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Fayette Williams located?

Fayette Williams practices at 1625 Saint Louis Avenue House Staff & Gme, Fort Worth, TX 76104. The listed phone number is (817) 927-1325.

What is Fayette Williams's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Fayette Williams enrolled in Medicare?

Yes. Fayette 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.

Which organization bills Medicare for Fayette Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fayette Williams reassigns Medicare benefits to Oral & Maxillofacial Network, P.L.L.C. (Fort Worth, TX). 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 Fayette Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fayette Williams accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Fayette 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 Fayette Williams affiliated with any hospitals?

According to CMS data, Fayette Williams is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Fayette Williams was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.