Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimwesley Williams

Individual provider Nurse Practitioner · NPI 1619682895

Jimwesley Williams is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Bear Creek Emergency Group LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2023
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Practice location Address checks out

1225 N State St
Jackson, MS 39202-2064
Phone: (601) 759-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R01146 (MS)

Record details

NPI number1619682895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address1225 N State St, Jackson, MS 39202-2064

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bear Creek Emergency Group Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson