Individual provider Active NPI

Adelle Anthony-Williams, MD

  • Pain Medicine (Anesthesiology) Physician
  • Gastonia, NC
National Provider Identifier
1073681201
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
9600442 Issued in NC
Practice address
640 Summit Crossing PL
Gastonia, NC 28054-2138
Phone
(704) 671-5400
Fax
(704) 671-5420
NPI assigned
Dec 4, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9600442 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 9600442 NC Primary

Addresses

Primary practice location

640 Summit Crossing PL
Gastonia, NC 28054-2138

Mailing address

4534 Rosecliff Dr
Charlotte, NC 28277-8660
Phone (704) 975-2221

Other identifiers 1

IdentifierTypeStateIssuer
196344MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000507 NC Practitioner - Anesthesiology 4789831959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians

Practice addresses (Care Compare)

1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9600442NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adelle Anthony-Williams MD PLLC Multi-Specialty CurrentSince Aug 13, 2023 Accepting new patients
Caromont Medical Group Inc Multi-Specialty Current Accepting new patients
Providence Anesthesiology Associates, P.a. Multi-Specialty CurrentSince Jul 1, 2018 Accepting new patients
Caromont Medical Group, Inc. Multi-Specialty CurrentSince Sep 14, 2015 Accepting new patients
Caromont Medical Group Inc Multi-Specialty CurrentSince Sep 14, 2015 Accepting new patients

Locations

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1933 Jake Alexander Blvd W
Ste 103
Salisbury, NC 28147
Phone (704) 604-0377

Organizations & group practices 5

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1073681201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 ROSECLIFF DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778660",
            "telephone_number": "704-975-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SUMMIT CROSSING PL",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542138",
            "telephone_number": "704-671-5400",
            "fax_number": "704-671-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY-WILLIAMS",
        "first_name": "ADELLE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9600442",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "9600442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196344",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.