| Mr Deray Junior Williams, CRNP | |
|
875 Friendship Rd, Tallassee, AL 36078 | |
| (334) 283-3111 | |
| (334) 283-1060 |
| Full Name | Mr Deray Junior Williams |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 875 Friendship Rd, Tallassee, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073067856 | NPI | - | NPPES |
| 236250 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-130381 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Inc | Tallassee, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Hospital Inc | 2062408487 | 15 |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Deray Junior Williams, CRNP 875 Friendship Rd, Tallassee, AL 36078-1255 Ph: (337) 283-3111 | Mr Deray Junior Williams, CRNP 875 Friendship Rd, Tallassee, AL 36078 Ph: (334) 283-3111 |
Brandi Criswell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 | |
Mrs. Adrienne Bolan Goggans, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
Elizabeth R Bacchus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 334-567-8633 | |
Barbara Jean Watts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
Nicole G Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-3975 | |
Sekeita B Clausell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1608a Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2291 |