Active NPI
Steven G Williamson, MD
- Emergency Medicine Physician
- Hickory, NC
National Provider Identifier
1154364644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31694
- Practice address
- 810 Fairgrove Church Rd
Hickory, NC 28602 - Phone
- (828) 326-3000
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | 31694 | NC | |
| Emergency Medicine Physician | 207P00000X | 31694 | NC | Primary |
Addresses
Primary practice location
810 Fairgrove Church Rd
Hickory, NC 28602
Mailing address
3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466
Other practice location 1
3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7388297 | Other | MAMSI | |
| 88051 | Other | BCBS | |
| 8988051 | Medicaid | NC | |
| 31694 | Other | NC | LICENSE |
| P00210508 | Other | RAILROAD | |
| D8986 | Other | MEDCOST | |
| Q31694 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31694 | NC | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Iredell County, Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Wake Forest University Health Sciences | Emergency Medicine | Past | Accepting new patients |
Locations
2347 Simonton Rd
Statesville, NC 28625
Phone (704) 873-4719
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Statesville, NC
- NPI 1336243997
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Clinic/Center
- Greensboro, NC
- NPI 1194964379
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154364644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 ROBINSON RD",
"city": "NEWTON",
"state": "NC",
"postal_code": "286589715",
"telephone_number": "828-466-0466",
"fax_number": "828-466-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD",
"city": "HICKORY",
"state": "NC",
"postal_code": "28602",
"telephone_number": "828-326-3000"
}
],
"practiceLocations": [
{
"address_1": "3975 Robinson Rd",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "NC",
"postal_code": "286589715",
"country_code": "US",
"telephone_number": "828-466-0466",
"fax_number": "828-466-8862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "STEVEN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "NC",
"license": "31694",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "31694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "7388297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88051",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8988051",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "31694",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00210508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D8986",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q31694",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.