Individual provider Active NPI

Gabriel I Williams, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1245198860
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5987 Issued in NC
Practice address
8912 Blakeney Professional Dr Ste 100
Charlotte, NC 28277-6735
Phone
(704) 544-5353
Fax
(704) 544-5382
NPI assigned
Jan 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5987 NC Primary

Addresses

Primary practice location

8912 Blakeney Professional Dr Ste 100
Charlotte, NC 28277-6735

Mailing address

1732 Walnut Crest LN
Matthews, NC 28105-0316
Phone (980) 339-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212003343 NC Practitioner - Chiropractic 8921588658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1732 Walnut Crest LN
Matthews, NC 28105-0316

8912 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5987NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sports Chiropractic PLLC Chiropractor CurrentSince Jan 15, 2026 Accepting new patients

Locations

8912 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 544-5353

Organizations & group practices 1

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": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1245198860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 WALNUT CREST LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050316",
            "telephone_number": "980-339-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776735",
            "telephone_number": "704-544-5353",
            "fax_number": "704-544-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GABRIEL",
        "middle_name": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.