Active NPI
Lacey Rebekah Williams
- Nurse Practitioner
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5016655
- Practice address
- 136 S Park St
Asheboro, NC 27203-5651 - Phone
- (336) 626-6371
- NPI assigned
- Aug 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016655 | NC | |
| Nurse Practitioner | 363L00000X | 5016655 | NC | Primary |
Addresses
Primary practice location
136 S Park St
Asheboro, NC 27203-5651
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331
Other practice location 1
2150 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 662-9480
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 S Park St
Asheboro, NC 27203-5651
Phone (336) 626-6371
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Past | Accepting new patients |
Locations
136 S Park St
Asheboro, NC 27203
Phone (336) 626-6371
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Interoperability endpoints
- lwilliams1232687@direct.novanthealth.org
- lwilliams2753390@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Obstetrics & Gynecology Physician
- Asheboro, NC
- NPI 1730343922
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Family Medicine Physician
- Granite Falls, NC
- NPI 1770858938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1346977816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-1331",
"fax_number": "910-332-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S PARK ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035651",
"telephone_number": "336-626-6371"
}
],
"practiceLocations": [
{
"address_1": "2150 Shipyard Blvd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "28403",
"country_code": "US",
"telephone_number": "910-662-9480",
"fax_number": "910-332-5666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LACEY",
"middle_name": "REBEKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016655",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5016655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.