Active NPI
James Thomas Williams, CRNA
- Certified Registered Nurse Anesthetist
- Lincolnton, NC
National Provider Identifier
1629012026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 114632
- Practice address
- 200 Gamble Dr
Lincolnton, NC 28092-4421 - Phone
- (704) 735-3071
- Fax
- (704) 735-0584
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 114632 | NC | Primary |
Addresses
Primary practice location
200 Gamble Dr
Lincolnton, NC 28092-4421
Mailing address
P.O. Box 677
Lincolnton, NC 28093
Phone (704) 735-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000175 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114632 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1629012026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 677",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "28093",
"telephone_number": "704-735-3071",
"fax_number": "704-735-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GAMBLE DR",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924421",
"telephone_number": "704-735-3071",
"fax_number": "704-735-0584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "114632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8000175",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.