Individual provider Active NPI

Pamela S Williams

  • Non-emergency Medical Transport (VAN)
  • Fayetteville, NC
National Provider Identifier
1073793386
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
3808 Chadbourne Dr
Fayetteville, NC 28312-7609
Phone
(716) 812-0303
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3808 Chadbourne Dr
Fayetteville, NC 28312-7609

Mailing address

3808 Chadbourne Dr
Fayetteville, NC 28312-7609
Phone (716) 812-0303

Other practice location 1

1620 Billington Rd
1620 Billington RD.
East Aurora, NY 14052-9453
Phone (716) 812-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Williams Jordanhouseconnections Non-Emergency Medical Transport (Van) CurrentSince Sep 20, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1073793386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 CHADBOURNE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127609",
            "telephone_number": "716-812-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 CHADBOURNE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127609",
            "telephone_number": "716-812-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Billington Rd",
            "address_2": "1620 Billington RD.",
            "address_purpose": "LOCATION",
            "city": "East Aurora",
            "state": "NY",
            "postal_code": "140529453",
            "country_code": "US",
            "telephone_number": "716-812-0303",
            "fax_number": "716-652-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-09-09",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.