JERRY WILLIAMSON M.D.
NPI 1770605677
Pediatrics in Immokalee, FL

Q: What is Jerry Williamson's NPI number?

The NPI number for Jerry Williamson is 1770605677. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Jerry Williamson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Williamson was last updated on June 6, 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.

Active since April 04, 2007PECOS Enrolled

1454 MADISON AVE W, IMMOKALEE, FL 34142(239) 658-3196(239) 658-3175 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jerry Williamson M.d. NPPES

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

JERRY WILLIAMSON M.D. (NPI 1770605677) is an individual pediatrics provider in Immokalee, Florida, licensed in Florida (ME29350) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770605677

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJERRY WILLIAMSONCredential: M.D.

Location Address1454 MADISON AVE WImmokalee, FL 34142-2200

Mailing Address24 Falconwood CtFort Myers, FL 33919-7535 · (239) 658-3196

Phone(239) 658-3196

Fax(239) 658-3175

Sole ProprietorYes

Enumeration DateApril 4, 2007

Last NPPES UpdateJune 6, 2011

✔ NPI 1770605677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME29350

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1454 MADISON AVE W, Immokalee, FL 34142

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Other Identifiers 2

Medicare UPIND57302

Medicaid257304100FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Williamson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34142 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

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 20

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

COLLIER HEALTH SERVICES INC

Dentist (Pediatric Dentistry)