Individual provider Active NPI

Ryan Lee Williams, D.C.

  • Chiropractor
  • Benson, NC
National Provider Identifier
1023021755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3387 Issued in NC
Practice address
27 Annette Dr
Suite 109
Benson, NC 27504-8045
Phone
(919) 989-1888
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3387 NC Primary

Addresses

Primary practice location

27 Annette Dr
Suite 109
Benson, NC 27504-8045

Mailing address

152 Pedernales Dr
Smithfield, NC 27577-9550
Phone (919) 740-7725

Other identifiers 1

IdentifierTypeStateIssuer
5902113MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025001057 NC Practitioner - Chiropractic 7416974845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Family ChiropracticGroup PAC ID 0840299442, 2 clinicians

Practice addresses (Care Compare)

58 Old Roberts Rd
Benson, NC 27504-8047
Phone (919) 989-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3387NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Family Chiropractic Chiropractor CurrentSince Aug 21, 2006 Accepting new patients
Vardy Chiropractic and Wellness Clinics Chiropractor PastSince Dec 7, 2025 Accepting new patients
Crossroads Wellness and Rehab, PA Past Accepting new patients

Locations

27 Annette Dr
Ste 109
Benson, NC 27504
Phone (919) 989-1888

58 Old Roberts Rd
Benson, NC 27504
Phone (919) 934-2600

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023021755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PEDERNALES DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779550",
            "telephone_number": "919-740-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ANNETTE DR",
            "address_2": "SUITE 109",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048045",
            "telephone_number": "919-989-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.