Individual provider Active NPI

Tawanda Bowden Williams, M.D.

  • Obstetrics & Gynecology Physician
  • Lumberton, NC
National Provider Identifier
1427161579
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33775 Issued in NC
Practice address
4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288
Phone
(910) 735-8040
NPI assigned
Aug 15, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33775 NC Primary

Addresses

Primary practice location

4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-4111

Other practice location 1

800 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-2454

Other identifiers 1

IdentifierTypeStateIssuer
8922866MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000695 NC Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 8224080890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

460 Country Club Rd
Lumberton, NC 28360-9494
Phone (910) 671-3200

800 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-2454

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Apr 30, 2018 Accepting new patients
Southeastern Regional Physician Services CurrentSince Apr 30, 2018 Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
County of Robeson Office of Treasurer CurrentSince Jun 5, 2020 Accepting new patients

Locations

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

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

460 Country Club Rd
Lumberton, NC 28360
Phone (910) 671-3200

4901 Dawn Dr
Ste 3200
Lumberton, NC 28360
Phone (910) 735-8040

800 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-2454

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

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

Interoperability endpoints

  • Direct secure messaging: twilliams845481@direct.unc.nchie.net

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.

Hospital & facility affiliations 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1427161579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490",
            "telephone_number": "984-215-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR STE 3200",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608288",
            "telephone_number": "910-735-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oakridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582330",
            "country_code": "US",
            "telephone_number": "910-738-2454",
            "fax_number": "910-272-7165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAWANDA",
        "middle_name": "BOWDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "33775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922866",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.