Active NPI
Renee Dusold Williams, FNP
- Primary Care Nurse Practitioner
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 201361
- Practice address
- 236 Butternut LN
Clayton, NC 27520-5857 - Phone
- (919) 359-1011
- Fax
- (919) 359-9122
- NPI assigned
- May 17, 2007
- Last updated
- Jun 9, 2025
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 201361 | NC | Primary |
Addresses
Primary practice location
236 Butternut LN
Clayton, NC 27520-5857
Mailing address
PO Box 96860
Charlotte, NC 28296-6860
Phone (919) 359-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201361 | Other | NC | STATE FNP LICENSE NUMBER |
Other names 1
- Mrs. Renee Dusold Williams
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
236 Butternut LN
Clayton, NC 27520-5857
Phone (919) 359-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201361 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Durham Medical Group PA | Current | Accepting new patients | |
| Raleigh Durham Medical Group, PA | Family | Past | Accepting new patients |
Locations
97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993
236 Butternut Ln
Clayton, NC 27520
Phone (919) 359-1011
Interoperability endpoints
- reneewilliams@hfmpa.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orange Family Medical Group
- Family Medicine Physician
- Hillsborough, NC
- NPI 1194828145
-
dba Waverly Primary Care
- Family Medicine Physician
- Cary, NC
- NPI 1003868258
-
dba Horizon Family Medicine
- Family Medicine Physician
- Clayton, NC
- NPI 1013371061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1184831950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96860",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282966860",
"telephone_number": "919-359-1011",
"fax_number": "919-359-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 BUTTERNUT LN",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205857",
"telephone_number": "919-359-1011",
"fax_number": "919-359-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RENEE",
"middle_name": "DUSOLD",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "201361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FNP LICENSE NUMBER",
"identifier": "201361",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "WILLIAMS",
"middle_name": "DUSOLD",
"prefix": "MRS.",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.