Individual provider Active NPI

Nathaniel Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1346336914
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
196478 Issued in NC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-5645
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 196478 NC Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

PO Box 18139
Raleigh, NC 27619-8139

Other identifiers 2

IdentifierTypeStateIssuer
8052659MedicaidNC
P00364384OtherNCRAILROAD-MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000231 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355342254 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

10540 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090
Phone (919) 554-6253

3521 Haworth Dr
Raleigh, NC 27609-7244
Phone (919) 782-1806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Gastroenterology PA CurrentSince Sep 17, 2012 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 13, 2006 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 30, 2011 Accepting new patients
Whitehurst Anesthesia P a Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2011 Accepting new patients
Moye Medical Endoscopy Center LLC CurrentSince Jul 19, 2024 Accepting new patients
Raleigh Medical Group, PA CurrentSince Feb 1, 2012 Accepting new patients
Burlington Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered PastSince Jan 1, 2006 Accepting new patients
North Carolina Anesthesia Partners, PLLC Past Accepting new patients
Anesthesia Resources of the Carolinas, P.a. Past Accepting new patients
Perioperative Medicine Consultants, LLC Past Accepting new patients

Locations

1236 Huffman Mill Rd
Ste 2000
Burlington, NC 27215
Phone (336) 538-7180

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

2465 Emerald Pl
Greenville, NC 27834
Phone (252) 758-2424

521 Moye Blvd
#C
Greenville, NC 27834
Phone (252) 744-1400

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1346336914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18139",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NATHANIEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "196478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052659",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD-MEDICARE",
            "identifier": "P00364384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.