Provider Demographics
NPI:1780657056
Name:WILLIAMS, JAMES BARTON (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BARTON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:J.
Other - Middle Name:BARTON
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3491 BLUECUTT RD
Mailing Address - Street 2:STE 3
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1343
Mailing Address - Country:US
Mailing Address - Phone:662-241-0050
Mailing Address - Fax:662-241-7747
Practice Address - Street 1:3491 BLUECUTT ROAD, SUITE 3
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1343
Practice Address - Country:US
Practice Address - Phone:662-241-0050
Practice Address - Fax:662-241-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14872207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0124293Medicaid
BW0348400OtherDEA
BW0348400OtherDEA