Heather Edmonds Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1587 Issued in SC

Practice address

101 S Ravenel St Ste 230
Florence, SC 29506-2624

Phone

(843) 777-7043

Fax

(843) 777-7041

NPI assigned

Oct 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ms. Heather Elizabeth Edmonds Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hwilliams772010@direct.ghs.myhfn.org
• Direct secure messaging: hwilliams23992@directmcleodehealth.org

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.

• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321
  Medicare reassignment Care Compare group NPD (past)
• Novant Health Urgent Cares LLC

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555
  Medicare reassignment
• Ies South Carolina LLC

  • Emergency Medicine Physician
  • Hartsville, SC
  • NPI 1821779695
  Medicare reassignment
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494
  Medicare reassignment
• Southern Comprehensive and Behavioral Health Associates LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1730602285
  Medicare reassignment
• Southern Urgent Care Murrell'S Inlet LLC

  • Urgent Care Clinic/Center
  • Murrells Inlet, SC
  • NPI 1235474727
  Medicare reassignment
• McLeod Physician Associates II

  • Urgent Care Clinic/Center
  • Darlington, SC
  • NPI 1386819613
  NPD
• Prisma Health Medical Group-Midlands

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, SC
  • NPI 1417442864
  NPD
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Dillon, SC
  • NPI 1568434249
  NPD (past)
• Southern Living Emergency Physicians LLC

  • Emergency Medicine Physician
  • Loris, SC
  • NPI 1528314325

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1508166745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7043",
            "fax_number": "843-777-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RAVENEL ST STE 230",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062624",
            "telephone_number": "843-777-7043",
            "fax_number": "843-777-7041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Medical Park Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036839",
            "country_code": "US",
            "telephone_number": "803-434-8800",
            "fax_number": "803-434-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEATHER",
        "middle_name": "EDMONDS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1082PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00911767",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101804",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "EDMONDS",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Everett Williams Jr., FNP-BC
• Christine Alexandra Williams, LMSW, MPH, CHES
• Courtney Jukel Williams, LPCA
• Debra Rebecca Williams, BSN
• Frank B Williams Jr., CRNA
• Jonathan Scott Williams, MD
• Kent Edward Williams, PHARM. D.
• Lawanda Denise Williams, B.A.
• Leslie Danielle Williams, MS, CACII, LPC
• Liza Ann Williams, APRN

• Physician Assistant in Florence, SC
• Providers in Florence, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.

Verify at the official NPI Registry.