Individual provider Active NPI

Deborah Troutman Williams, PAC

  • Physician Assistant
  • Morganton, NC
National Provider Identifier
1174533293
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100489 Issued in NC
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

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
100489NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Easter Seals Ucp North Carolina & Virgiinia, Inc. CurrentSince Dec 18, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.