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JEFFREY R WILLIAMSON DO PC
NPI 1750443750
Family Medicine in Rockford, MI

Active since December 15, 2006CLIA 23D1046091 · Waiver
6785 MYERS LAKE AVE NE, ROCKFORD, MI 49341(616) 884-5191(616) 884-5192 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey R Williamson Do Pc NPPES

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

JEFFREY R WILLIAMSON DO PC (NPI 1750443750) is a healthcare organization registered as a family medicine in Rockford, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Kathy Jo Uecker, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1750443750
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEFFREY R WILLIAMSON DO PC
Location Address6785 MYERS LAKE AVE NERockford, MI 49341
Mailing AddressPo Box 260, 6785 Myers Lake Ave NeRockford, MI 49341-7416 · (616) 884-5191 · Fax (616) 884-5192
Phone(616) 884-5191
Fax(616) 884-5192
Organization SubpartNo
Authorized OfficialKathy Jo UeckerCredentialing Manager · (269) 420-9404
Enumeration DateDecember 15, 2006
Last NPPES UpdateJanuary 20, 2020
✔ NPI 1750443750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · JW011762
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6785 MYERS LAKE AVE NE, Rockford, MI 49341
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Other Names 1

Doing Business AsJeffrey R Williamson Do Pc

Other Identifiers 1

Medicaid48109028MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1046091

Jeffrey R Williamson Do PC · Rockford, MI
Active · expires Jan 27, 2027
CLIA Number23D1046091
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorJeffrey R. Williamson
Laboratory Phone(616) 884-5191
Laboratory LocationJeffrey R Williamson Do PC6785 Myers Lake Ave NE, Rockford, MI 49341
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DAVID B FISCHER DDS
Dentist (General Practice)
6785 MYERS LAKE AVE NE, SUITE A
ROCKFORD, MI 49341
Kent County (616) 874-6040
MICHAEL J KELLEY DPM
Podiatrist
6785 MYERS LAKE AVE NE, SUITE C
ROCKFORD, MI 49341
Kent County (616) 874-8772
ELDER CARE OF WEST MICHIGAN PLLC
Family Medicine (Geriatric Medicine)
6785 MYERS LAKE AVE NE
ROCKFORD, MI 49341
Kent County (616) 366-4234
MICHAEL KELLEY DPM
Podiatrist
6785 MYERS LAKE AVE NE, SUITE C
ROCKFORD, MI 49341
Kent County (616) 874-8772
DR. JEFFREY R WILLIAMSON DO
Family Medicine
6785 MYERS LAKE AVE NE
ROCKFORD, MI 49341
Kent County (616) 884-5191

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 Jeffrey R Williamson Do PC's NPI number?

The NPI number for Jeffrey R Williamson Do PC is 1750443750. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Jeffrey R Williamson Do PC located?

Jeffrey R Williamson Do PC is located at 6785 Myers Lake Ave NE, Rockford, MI 49341. The listed phone number is (616) 884-5191.

What is Jeffrey R Williamson Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jeffrey R Williamson Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1046091) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jeffrey R Williamson Do PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jeffrey R Williamson Do PC 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.

When was this NPI record last updated?

The NPPES record for Jeffrey R Williamson Do PC was last updated on January 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.