Clifton Williams, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102538 Issued in NC

Practice address

128 E Broad St
Saint Pauls, NC 28384-1610

Phone

(910) 241-3042

Fax

(910) 241-3462

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Windsor, NC
  • NPI 1396886842
  NPD (past)
• Bertie County Rural Health Association

  • Clinic Pharmacy
  • Windsor, NC
  • NPI 1801427711
  NPD (past)
• GP Medical Corporation

  • Exclusive Provider Organization
  • Durham, NC
  • NPI 1578743571
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1285705152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLAZA CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E BROAD ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841610",
            "telephone_number": "910-241-3042",
            "fax_number": "910-241-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLIFTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-02-26",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transportation With Mo Inc
• VRC Counseling Agency, PLLC
• Wal-Mart Stores East LP
• Walgreen Co
• Fonda Whitted
• Joseph Williams, PHARMD
• Chelsea Leigh Young, PA-C

• Medical Physician Assistant in Saint Pauls, NC
• Providers in Saint Pauls, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.