Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffrey S. Williams, PA-C

Individual provider Physician Assistant · NPI 1720021744

Mr. Jeffrey S. Williams, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 1997, 29 years ago. Practices with Orthopaedics Northeast PC, a 79-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
29
Licensed in
IN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003770A (IN)

Record details

NPI number1720021744
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJanuary 10, 2024
Certification dateNovember 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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