DR. PHYLLIS RENEE JACKSON-WILLIAMS DDS
NPI 1912050832
Dentist - General Practice in River Ridge, LA

Active since January 22, 2007PECOS Enrolled
11312 JEFFERSON HWY, RIVER RIDGE, LA 70123(504) 463-5999(504) 463-5990 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phyllis Renee Jackson-williams Dds NPPES

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

DR. PHYLLIS RENEE JACKSON-WILLIAMS DDS (NPI 1912050832) is an individual general practice provider in River Ridge, Louisiana, licensed in Louisiana (5004) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912050832
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHYLLIS RENEE JACKSON-WILLIAMSCredential: DDS
Location Address11312 JEFFERSON HWYRiver Ridge, LA 70123-1709
Mailing Address11312 Jefferson HwyRiver Ridge, LA 70123-1709 · (504) 463-5999 · Fax (504) 463-5990
Fax(504) 463-5990
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 23, 2012
NPI 1912050832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in LA · 5004
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11312 JEFFERSON HWY, River Ridge, LA 70123

Other Identifiers 1

Medicaid1850047LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Phyllis Renee Jackson-williams Dds 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 70123 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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 4

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

Preventive Medicine (Public Health & General Preventive Medicine)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Nurse Practitioner (Family)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Nurse Practitioner (Family)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Clinic/Center (Federally Qualified Health Center (FQHC))
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123

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 Phyllis Jackson-williams's NPI number?

The NPI number for Phyllis Jackson-williams is 1912050832. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Phyllis Jackson-williams located?

Phyllis Jackson-williams practices at 11312 Jefferson Hwy, River Ridge, LA 70123. The listed phone number is (504) 463-5999.

What is Phyllis Jackson-williams's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Phyllis Jackson-williams enrolled in Medicare?

Yes. Phyllis Jackson-williams is registered in the Medicare PECOS enrollment system.

What insurance does Phyllis Jackson-williams accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Phyllis Jackson-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.

When was this NPI record last updated?

The NPPES record for Phyllis Jackson-williams was last updated on March 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.