What is Otha Williams's NPI number?

Otha Williams's National Provider Identifier (NPI) is 1619125952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Otha Williams's specialty?

Otha Williams is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Otha Williams located?

Otha Williams's practice location on file with NPPES is 1736 Lake Trace Dr, Jackson, MS 39211-3353.

What is Otha Williams's phone number?

The practice phone number listed in the NPPES registry for Otha Williams is (601) 624-4311.

Is Otha Williams's NPI active?

Yes — Otha Williams's NPI (1619125952) is active in the NPPES registry as of the last update on 2026-05-10.

IndividualActive

Otha Williams, M.D.

NPI 1619125952 · Surgery Physician · Jackson, MS

Otha Williams, M.D. is a Surgery Physician provider in Jackson, MS (NPI 1619125952).

Provider details

NPI number: 1619125952
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 07230 (MS)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense 07230 (MS)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1736 Lake Trace Dr

Jackson, MS 39211-3353

Phone: (601) 624-4311

Fax: (601) 321-9519

Street-level locationGet directions

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Mailing address