Individual provider Active NPI

Noelle L Williams, M.D.

  • Radiation Oncology Physician
  • Charlotte, NC
National Provider Identifier
1558603605
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2018-00117 Issued in NC
Practice address
200 Queens Rd Ste 400
Charlotte, NC 28204
Phone
(704) 333-7376
Fax
(704) 333-3397
NPI assigned
Mar 26, 2013
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 51976 SC
Student in an Organized Health Care Education/Training Program 390200000X PA
Radiation Oncology Physician 2085R0001X 2018-00117 NC Primary

Addresses

Primary practice location

200 Queens Rd Ste 400
Charlotte, NC 28204

Mailing address

200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone (704) 333-7376

Other practice location 1

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180717002358 NC Practitioner - Radiation Oncology 5991921959 Reassigns benefits to 2 organizations
I20180717003082 SC Practitioner - Radiation Oncology 5991921959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

1005 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 283-6200

1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone (704) 845-8800

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

222 S Herlong Ave
Rock Hill, SC 29732-1158

228 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 366-5186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 16, 2018 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jul 16, 2018 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC Current Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Jul 16, 2018 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 16, 2018 Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

125 Queens Rd
Ste 150
Charlotte, NC 28204
Phone (980) 302-6144

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

10030 Gilead Rd
Ste B120
Huntersville, NC 28078
Phone (704) 316-6630

440 McAlister Rd
Lincolnton, NC 28092
Phone (704) 834-3544

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

631 Mocksville Ave
#1010
Salisbury, NC 28144
Phone (704) 210-6870

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: nwilliams667167@direct.medicine.duke.edu

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1558603605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963450",
            "country_code": "US",
            "telephone_number": "484-476-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NOELLE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "51976",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2018-00117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.