MR. JOHN RICHARD WILLIAMS I PA-C
NPI 1396141974
Physician Assistant in Clayton, GA

Q: What is John Williams's NPI number?

The NPI number for John Williams is 1396141974. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Q: What is John Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Williams was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 10, 2014PECOS Enrolled

82.85/100

CMS Quality Rating

189 BO JAMES ST STE 105, CLAYTON, GA 30525(706) 782-0016(706) 782-0180 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2024, Oct 17, 2023, May 1, 2019 and 3 more (6 updates tracked since 2019).

On this page

About Mr. John Richard Williams I Pa-c NPPES

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

MR. JOHN RICHARD WILLIAMS I PA-C (NPI 1396141974) is an individual physician assistant in Clayton, Georgia, licensed in Georgia (7425) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Stephens County Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396141974

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOHN RICHARD WILLIAMS ICredential: PA-C

Location Address189 BO JAMES ST STE 105Clayton, GA 30525-6199

Mailing Address189 Bo James St Ste 105Clayton, GA 30525-6199 · (706) 782-0016 · Fax (706) 782-0180

Phone(706) 782-0016

Fax(706) 782-0180

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 10, 2014

Last NPPES UpdateJune 5, 20246 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1396141974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in GA · 7425✔ Licensed in NC · 0010-13479

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 007425 (GA)

189 BO JAMES ST STE 105, Clayton, GA 30525

Open in Google Maps ↗

Other Identifiers 8

Medicaid003153646HGA

Medicaid003153646KGA

Other06705493GA · Amerigroup

Other1819077GA · Wellcare

Medicaid003153646IGA

Medicaid003153646GGA

Medicaid003153646JGA

Medicaid003153646LGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Richard Williams I Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284957317

PECOS Enrollment IDI20200325000392

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

113 services108 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

97 services96 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

42 services42 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

24 services23 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.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Stephens County Hospital

Acute Care Hospitals · Toccoa, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110032

Location163 Hospital DriveToccoa, GA 30577 · Stephens County

Emergency services

Mountain Lakes Medical Center

Critical Access Hospitals · Clayton, GA

OwnershipProprietary

CMS Certification Number111336

Location162 Legacy PointClayton, GA 30525 · Rabun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30525 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.33

Improvement Activities

Cost

50.4

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers17 claims25 services$5.01 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers20 claims21 services$52.85 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$108.50 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 6

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

GARRETT SHANE SURRENCY ADVANCED CARE NP

Nurse Practitioner (Acute Care)