Active NPI
Deborah Troutman Williams, PAC
- Physician Assistant
- Morganton, NC
National Provider Identifier
1174533293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 100489
- Practice address
- 1000 S Sterling St
Morganton, NC 28655-3938 - Phone
- (828) 438-6351
- Fax
- (828) 430-7893
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100489 | NC | Primary |
Addresses
Primary practice location
1000 S Sterling St
Morganton, NC 28655-3938
Mailing address
1000 South Sterling St
Morganton, NC 28655-3938
Phone (828) 433-2567
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250326000239 | NC | Practitioner - Physician Assistant | 8729262506 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100489 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. | Current | Accepting new patients | |
| Easter Seals Ucp North Carolina & Virgiinia, Inc. | Current | Accepting new patients |
Locations
5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661
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/Behavioral Health Agency
- Raleigh, NC
- NPI 1306167713
NC
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1871647503
-
- Pharmacy
- New Bern, NC
- NPI 1013769629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1174533293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SOUTH STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553938",
"telephone_number": "828-433-2567",
"fax_number": "828-433-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553938",
"telephone_number": "828-438-6351",
"fax_number": "828-430-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DEBORAH",
"middle_name": "TROUTMAN",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "100489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
- Jessica Marie Wiles-Williamson, LPC-A
- Jeanine Rochelle Wilkerson, LCSWA
- William Kingery DDS PA
- William T Link, DDS PA
- Caroline Marie Williams, M.S., CCC-SLP
- Nicole L Williams
- Sheila Dean Williamson, PH.D.
- Sharon Givens Willingham, M.D.
- Angela Jeanine Wilson, CADC
- Jane Frances Wilson, LMFT, LPC, LCAS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.