Individual provider Active NPI

Laura Williams, PA

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1073624508
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05754 Issued in NC
Practice address
6715 McCrimmon Pkwy Ste 300
Cary, NC 27519-1916
Phone
(919) 481-4997
Fax
(919) 388-3271
NPI assigned
Aug 31, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003296 MD
Physician Assistant 363A00000X 0010-05754 NC Primary

Addresses

Primary practice location

6715 McCrimmon Pkwy Ste 300
Cary, NC 27519-1916

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

2112 Bel Air Rd
Fallston, MD 21047-2786
Phone (410) 398-4679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwilliams138471@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122002029 NC Practitioner - Physician Assistant 4284685975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

781 Avent Ferry Rd
Suite 310
Holly Springs, NC 27540-7776
Phone (919) 552-8914

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003296MDMDPhysician Assistant
0010-05754NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Oct 5, 2015 Accepting new patients
Unc Physicians Network LLC CurrentSince Oct 5, 2015 Accepting new patients
Center Pointe Family Medicine LLC PastSince Mar 23, 2013 Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

400 Eastowne Dr
Chapel Hill, NC 27514
Phone (919) 957-6253

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

781 Avent Ferry Rd
Ste 310
Holly Springs, NC 27540
Phone (919) 552-8911

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8535/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1073624508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 MCCRIMMON PKWY STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191916",
            "telephone_number": "919-481-4997",
            "fax_number": "919-388-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 Bel Air Rd",
            "address_purpose": "LOCATION",
            "city": "Fallston",
            "state": "MD",
            "postal_code": "210472786",
            "country_code": "US",
            "telephone_number": "410-398-4679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003296",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwilliams138471@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6715 McCrimmon Pkwy Ste 300",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275191916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.