Individual provider Active NPI

Ryan Alan Williamson, M.D.

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1003234204
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2018-02818 Issued in NC
Practice address
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone
(704) 384-9437
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101264099 VA
Neurology Physician 2084N0400X MD213220 OR
Neurology Physician 2084N0400X MD61581286 WA
Neurology Physician 2084N0400X 102610 GA
Neurology Physician 2084N0400X 2018-02818 NC Primary

Addresses

Primary practice location

200 Hawthorne LN
Charlotte, NC 28204-2515

Mailing address

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (910) 450-4300

Other practice location 1

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065
Phone (757) 252-9015

Other practice location 2

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (910) 450-4300

Other practice location 3

501 N Graham St Ste 445
Portland, OR 97227-2002
Phone (503) 413-6166

Other practice location 4

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rwilliamson307961@balladhealth.medalliesdirect.net Direct BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Direct Messaging Address rwilliamson1060798@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, TN, OR, MT, WA, GA, LA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20190910001602 NC Practitioner - Neurology 9133458581 Reassigns benefits to 3 organizations
I20200114002081 VA Practitioner - Neurology 9133458581 Reassigns benefits to 1 organization
I20221104002659 TN Practitioner - Neurology 9133458581 Reassigns benefits to 2 organizations
I20230123000079 OR Practitioner - Neurology 9133458581 Reassigns benefits to 3 organizations
I20240209000978 MT Practitioner - Neurology 9133458581 Reassigns benefits to 1 organization
I20240805003633 WA Practitioner - Neurology 9133458581 Reassigns benefits to 1 organization
I20250204002365 GA Practitioner - Neurology 9133458581 Reassigns benefits to 1 organization
I20250623004091 LA Practitioner - Neurology 9133458581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Florida State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

410 N State of Franklin Rd
Suite 135
Johnson City, TN 37604-6972
Phone (423) 431-2350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102610GAMDNeurology Physician
2018-02818NCMDNeurology Physician
MD213220ORMDNeurology Physician
MD61581286WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jul 15, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 15, 2022 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Jul 15, 2022 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jan 20, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2022 Accepting new patients
University Medical Center Management Corporation CurrentSince May 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 18, 2024 Accepting new patients
Forsyth Memorial Hospital Inc Neurology CurrentSince Jul 15, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Blue Ridge Medical Management Corporation Neurology CurrentSince Oct 1, 2022 Accepting new patients
Silverton Health Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 28, 2022 Accepting new patients
Silverton Health CurrentSince Jul 21, 2024 Accepting new patients
Sentara Medical Group Neurology CurrentSince Jun 18, 2019 Accepting new patients
Billings Clinic CurrentSince Jan 9, 2024 Accepting new patients
Wellmont Health System Current Accepting new patients
Silverton Health CurrentSince Jul 21, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 28, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 18, 2024 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Billings Clinic CurrentSince Jan 9, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 18, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Nov 15, 2023 Accepting new patients
Cookeville Regional Medical Center CurrentSince Nov 15, 2023 Accepting new patients
University Medical Center Management Corporation Neurology CurrentSince May 1, 2025 Accepting new patients

Locations (25 of 33)

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

501 N Graham St
Ste 445
Portland, OR 97227
Phone (503) 284-5220

1040 NW 22nd Ave
Ste 420
Portland, OR 97210
Phone (503) 229-7566

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

Networks

  • AL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • TN PPO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • TN PPO
  • FL HMO
  • AL HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: rwilliamson1060798@direct.novanthealth.org
  • Direct secure messaging: rwilliamson307961@balladhealth.medalliesdirect.net
  • Direct secure messaging: rwilliamson467523@direct.sentara.net

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 29

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1003234204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-450-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Riverview Ave Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-9015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Brewster Blvd",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285472575",
            "country_code": "US",
            "telephone_number": "910-450-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Graham St Ste 445",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272002",
            "country_code": "US",
            "telephone_number": "503-413-6166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "RYAN",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101264099",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD213220",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61581286",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "102610",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2018-02818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilliamson307961@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "410 N State Of Franklin Rd",
            "address_2": "Suite 135",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilliamson1060798@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "200 Hawthorne Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.