| Jamie Olsen Williams, PA-C | |
|
15200 Community Rd, Gulfport, MS 39503-3085 | |
| (228) 575-7120 | |
| Not Available |
| Full Name | Jamie Olsen Williams |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 15200 Community Rd, Gulfport, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427349885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1962 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | MS00195 (Mississippi) | Primary |
| Entity Name | Emergency Room Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093112039 PECOS PAC ID: 6608190798 Enrollment ID: O20150120002157 |
| Entity Name | Singing River Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
| Entity Name | Mississippi Emergency Department Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881427961 PECOS PAC ID: 7113453960 Enrollment ID: O20241204001265 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Olsen Williams, PA-C 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: Not Available | Jamie Olsen Williams, PA-C 15200 Community Rd, Gulfport, MS 39503-3085 Ph: (228) 575-7120 |
Ms. Tiffany S Scatliffe, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 |
Mrs. Amanda Leblanc Harris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503 Phone: 228-864-3300 Fax: 228-864-3333 |
Ms. Kristi Ramey Kennon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9454 Three Rivers Rd, Ste D, Gulfport, MS 39503 Phone: 228-575-2660 Fax: 228-863-0502 |
Wesley Armstrong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000 |
Mrs. Thai Thao Woodcock, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15085 Ranier Ave, Gulfport, MS 39503 Phone: 228-313-2286 |
Regal Cox, CST, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 |
John Miyakawa, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12337 Ashley Dr, Suite F, Gulfport, MS 39503 Phone: 228-365-6932 |