Individual provider Active NPI

Sarah Williams

  • Dermatology Physician
  • Asheboro, NC
National Provider Identifier
1093391484
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
02141 Issued in NC
Practice address
360 Sunset Ave
Asheboro, NC 27203-5612
Phone
(336) 625-8410
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 02141 NC
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 02141 NC Primary

Addresses

Primary practice location

360 Sunset Ave
Asheboro, NC 27203-5612

Mailing address

360 Sunset Ave
Asheboro, NC 27203-5612
Phone (336) 625-8410

Other practice location 1

1 Medical Center Blvd
Winston Salem, NC 27157-2603
Phone (336) 716-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02141NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TLK Dermatology PLLC Dermatology CurrentSince Dec 24, 2023 Accepting new patients
James Todd Williams MD Dermatology CurrentSince Aug 28, 2022 Accepting new patients

Locations

360 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-8410

Organizations & group practices 2

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1093391484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271572603",
            "country_code": "US",
            "telephone_number": "336-716-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "02141",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "02141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.