Carol Williams, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101050409 Issued in VA

Practice address

9113 Dickey Dr
Mechanicsville, VA 23116-2502

Phone

(804) 559-7280

Fax

(804) 559-7282

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hanover Pediatrics and Adolescent Medicine PC

  • Pediatrics Physician
  • Henrico, VA
  • NPI 1427784917
  NPD Authorized official
• Bon Secours Memorial Regional Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1225263940
  NPD (past)
• Bon Secours Memorial Regional Medical Center Inc

  • Internal Medicine Physician
  • Ashland, VA
  • NPI 1366475642
  NPD (past)
• Bon Secours Memorial Regional Medical Center Inc

  • Pediatrics Physician
  • Mechanicsville, VA
  • NPI 1740585207
  NPD (past)
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1881883007
  NPD (past)
• Vernon J Harris East End Community Health Center

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1992404552
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1508912486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 DICKEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162502",
            "telephone_number": "804-559-7280",
            "fax_number": "804-559-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 DICKEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162502",
            "telephone_number": "804-559-7280",
            "fax_number": "804-559-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101050409",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101050409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "542006346",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006716211",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06193",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Wilkinson Sr., ATC
• Matthew Riggs Wilks, P.T.
• Melissa Will, L.P.T.
• Abigail Louise Williams, LMT
• Brittany Williams
• Chareece Williams, FNP-BC
• Linda D Williams, MSN, APRN, PMHNP-BC
• Mary Elizabeth Williams, PA-C
• Meggan Williams, CCC-SLP
• Stephanie Marie Williams

• Pediatrics Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.