Individual provider Active NPI

Kyle Williams, PA-C

  • Physician Assistant
  • Danvers, MA
National Provider Identifier
1528468121
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5129 Issued in MA
Practice address
99 Conifer Hill Dr
Danvers, MA 01923-1193
Phone
(978) 774-2555
Fax
(978) 774-8715
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5129 MA Primary

Addresses

Primary practice location

99 Conifer Hill Dr
Danvers, MA 01923-1193

Mailing address

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Other practice location 1

1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350

Other practice location 2

83 Herrick St Ste 2004
Beverly, MA 01915-2757
Phone (978) 927-4800

Other practice location 3

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20140929000244 MA Practitioner - Physician Assistant 7517187453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Practice addresses (Care Compare)

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

99 Conifer Hill Dr
Danvers, MA 01923-1193
Phone (978) 774-2555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA5129MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine North Orthopaedic Surgery, Inc CurrentSince Aug 11, 2014 Accepting new patients

Locations

147 S Main St
Middleton, MA 01949
Phone (978) 774-2555

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

1 Orthopedics Dr
Ste 2
Peabody, MA 01960
Phone (978) 818-6493

Interoperability endpoints

  • Direct secure messaging: kyle.williams.1@9808.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1528468121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONIFER HILL DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231193",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Orthopedics Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019601668",
            "country_code": "US",
            "telephone_number": "978-818-6350",
            "fax_number": "978-818-6355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 Herrick St Ste 2004",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019152757",
            "country_code": "US",
            "telephone_number": "978-927-4800",
            "fax_number": "978-232-5561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019492446",
            "country_code": "US",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.