Johnathan Deleon Williams, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31957 Issued in NC

Practice address

640 Summit Crossing PL
Ste 204
Gastonia, NC 28054-2142

Phone

(704) 865-0626

Fax

(704) 865-6531

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Johnathan D Williams Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

University of North Carolina at Chapel Hill School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Adult and Pediatric Medicine Associates PAGroup PAC ID 4284826033, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
• Adoration Home Health Home health agency, Gastonia, NC, CCN 347131
• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnathan-williams@piedmontaandp.e-mdsdirect.com

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.

• Piedmont Adult & Pediatric Medicine Associates PA

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1851362503
  Medicare reassignment Care Compare group NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adoration Home Health Care Virginia LLC

  • Home Health Agency
  • Gastonia, NC
  • NPI 1134138142
  Care Compare affiliation
• Gaston Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Shelby, NC
  • NPI 1649203431
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1245201557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SUMMIT CROSSING PL",
            "address_2": "STE 204",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542142",
            "telephone_number": "704-865-0626",
            "fax_number": "704-865-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SUMMIT CROSSING PL",
            "address_2": "STE 204",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542142",
            "telephone_number": "704-865-0626",
            "fax_number": "704-865-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHNATHAN",
        "middle_name": "DELEON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "31957",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "31957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987659",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNATHAN",
            "last_name": "WILLIAMS",
            "middle_name": "D",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Lee Williams, M.D.
• Deidre Shawn Williams, LCAS-A
• Elizabeth Jewell Williams, LCSWA
• Erica Williams, CCC-SLP
• Jennifer Williams, MSW,LCSW-A
• Katherine Williams, RPH
• Kiesha Victoria Williams, LMSW
• Martin Williams Jr.
• Melissa A Williams, LPC,CSI,CSAC
• Nerissa Williams

• Internal Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.

Verify at the official NPI Registry.