Active NPI
Tiffany Williams, PA-C
- Medical Physician Assistant
- Butner, NC
National Provider Identifier
1356753966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA30147
- Practice address
- Old Hwy 75
Butner, NC 27509 - Phone
- (919) 575-3900
- Fax
- (919) 575-4828
- NPI assigned
- May 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA30147 | DC | Primary |
Addresses
Primary practice location
Old Hwy 75
Butner, NC 27509
Mailing address
Old Hwy 75
Butner, NC 27509
Phone (919) 575-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA30147 | DC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Bureau of Prisons | Past | Accepting new patients |
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.
-
- Clinic/Center
- Butner, NC
- NPI 1750610960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401408000000",
"number": "1356753966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OLD HWY 75",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-3900",
"fax_number": "919-575-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLD HWY 75",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-3900",
"fax_number": "919-575-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-30",
"last_updated": "2014-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA30147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.