NPIMap

Individual provider Active NPI

Tishira R Brewington-Williams, PA

  • Medical Physician Assistant
  • Holly Springs, NC
National Provider Identifier
1376910034
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
781 Avent Ferry Rd Ste 310
Holly Springs, NC 27540-7776
Phone
(919) 552-8911
Fax
(919) 552-8955
NPI assigned
Aug 28, 2015
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

781 Avent Ferry Rd Ste 310
Holly Springs, NC 27540-7776

Mailing address

4606 Stony Falls Way
Knightdale, NC 27545-5132
Phone (678) 478-0588

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbrewingtonwilliams929388@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124002798 NC Practitioner - Physician Assistant 1456651306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

10000 Park Cedar Dr
Charlotte, NC 28210-8902
Phone (704) 667-3600

10620 Park Rd
Charlotte, NC 28210-0106

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

15110 John J Delaney Dr
Charlotte, NC 28277-3544
Phone (704) 302-8100

332 N Trade St
Matthews, NC 28105-1728
Phone (704) 512-6820

51 Mosaic Blvd
Pittsboro, NC 27312-4945

7030 Pineville Matthews Rd
Charlotte, NC 28226-8298
Phone (704) 667-4150

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 2, 2025 Accepting new patients
Unc Physicians Network LLC CurrentSince Sep 17, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 2, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 2, 2025 Accepting new patients
Unc Physicians Network, LLC CurrentSince Sep 17, 2022 Accepting new patients
North Carolina MG, LLC PastSince Oct 12, 2026 Accepting new patients
Roxboro Medical Associates, P.a. PastSince Jul 1, 2024 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

6013 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

15110 John J Delaney Dr
Charlotte, NC 28277
Phone (704) 302-8100

34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850

37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680

781 Avent Ferry Rd
Ste 310
Holly Springs, NC 27540
Phone (919) 552-8911

11304 Hawthorne Dr
Ste 100
Mint Hill, NC 28227
Phone (704) 384-8760

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766

7666 Charlotte Hwy
Indian Land, SC 29707
Phone (803) 431-8220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEHABA
  • Direct secure messaging: tbrewingtonwilliams2992720@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: tbrewingtonwilliams929388@direct.unc.nchie.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1376910034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 STONY FALLS WAY",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455132",
            "telephone_number": "678-478-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 AVENT FERRY RD STE 310",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407776",
            "telephone_number": "919-552-8911",
            "fax_number": "919-552-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWINGTON-WILLIAMS",
        "first_name": "TISHIRA",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbrewingtonwilliams929388@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "781 Avent Ferry Rd Ste 310",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275407776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.