Individual provider Active NPI

Cynthia Exhem-Williams, PA-C

  • Medical Physician Assistant
  • Concord, VA
National Provider Identifier
1386764538
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003484-1 Issued in NY
Practice address
116 Carriage Court LN
Concord, VA 24538-3145
Phone
(804) 919-4411
Fax
(804) 309-4114
NPI assigned
Mar 30, 2007
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110840435 VA
Physician Assistant 363A00000X 003484-1 NY
Medical Physician Assistant 363AM0700X 003484-1 NY Primary

Addresses

Primary practice location

116 Carriage Court LN
Concord, VA 24538-3145

Mailing address

116 Carriage Court LN
Concord, VA 24538-3145
Phone (804) 919-4411

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110840435VAMDPhysician Assistant
003484-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
House Calls Plus Inc CurrentSince Jun 12, 2002 Accepting new patients
Alliance Family Practice, P.C. Past Accepting new patients
Virginia Em-I Medical Services, PC Past Accepting new patients
Dr. Zelda West Johnson & Associates Past Accepting new patients
Southside Family Practice P.C. Past Accepting new patients

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, 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1386764538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CARRIAGE COURT LN",
            "city": "CONCORD",
            "state": "VA",
            "postal_code": "245383145",
            "telephone_number": "804-919-4411",
            "fax_number": "804-309-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CARRIAGE COURT LN",
            "city": "CONCORD",
            "state": "VA",
            "postal_code": "245383145",
            "telephone_number": "804-919-4411",
            "fax_number": "804-309-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXHEM-WILLIAMS",
        "first_name": "CYNTHIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840435",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003484-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003484-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.