Dr Jerry D Williams Ii, FNP-C - Medicare Nurse Practitioner in Holly Springs, MS

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Dr Jerry D Williams Ii, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Holly Springs, Mississippi. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holly Springs Family Medical, Llc and his current practice location is 130 W Van Dorn Ave, Holly Springs, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 274-3212.

Dr Jerry D Williams Ii is licensed to practice in Mississippi (license number 902114) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073035168.

Contact Information

Dr Jerry D Williams Ii, FNP-C
130 W Van Dorn Ave,
Holly Springs, MS 38635-2902
(662) 274-3212
(662) 274-3213

Map and Direction




Provider's Profile

Full NameDr Jerry D Williams Ii
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location130 W Van Dorn Ave, Holly Springs, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jerry D Williams Ii graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1073035168
  • Provider Enumeration Date: 07/11/2017
  • Last Update Date: 07/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618239682
  • Enrollment ID: I20200331003062

Medical Identifiers

Medical identifiers for Dr Jerry D Williams Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073035168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A005207 (Arkansas)Secondary
363LF0000XNurse Practitioner - Family 902114 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holly Springs Family Medical, Llc26688485812

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jerry D Williams Ii allows following entities to bill medicare on his behalf.
Entity NameOxford Family Clinic,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740412287
PECOS PAC ID: 7214072735
Enrollment ID: O20100308000600
Entity NameHeartland Family Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376188391
PECOS PAC ID: 1355770165
Enrollment ID: O20200330003512
Entity NameHolly Springs Family Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518692342
PECOS PAC ID: 2668848581
Enrollment ID: O20221018002553

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry D Williams Ii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry D Williams Ii, FNP-C
130 W Van Dorn Ave,
Holly Springs, MS 38635-2902

Ph: (662) 274-3212		Dr Jerry D Williams Ii, FNP-C
130 W Van Dorn Ave,
Holly Springs, MS 38635-2902

Ph: (662) 274-3212

Reviews and Comments


Nurse Practitioner Nurses in Holly Springs, MS

Robyn Black Caldwell, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 550 South Craft Street, Holly Springs, MS 38635
Phone: 662-274-3218    
Stephanie M Hardin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635
Phone: 662-252-1599    Fax: 662-252-1986
Allison Tucker Mcculley,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1809 Marianna Rd, Holly Springs, MS 38635
Phone: 901-489-3739    
Christle Chenille Stanton, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1700 Crescent Meadows Dr, Holly Springs, MS 38635
Phone: 662-252-2552    
Nancy C Boatwright, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635
Phone: 662-333-6933    Fax: 662-333-6931
Zelma Allen, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2369 Highway 311, Holly Springs, MS 38635
Phone: 901-488-7273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.