Individual provider Active NPI

Crystal Barr Williams, NP

  • Family Nurse Practitioner
  • Bamberg, SC
National Provider Identifier
1629853601
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27804 Issued in SC
Practice address
2113 Main Hwy
Bamberg, SC 29003-2705
Phone
(803) 245-5168
Fax
(803) 245-6275
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27804 SC Primary

Addresses

Primary practice location

2113 Main Hwy
Bamberg, SC 29003-2705

Mailing address

PO Box 120
Bamberg, SC 29003-0120
Phone (803) 245-5168

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231207002694 SC Practitioner - Nurse Practitioner 1850740440 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
F. Marion Dwight, MD,PA CurrentSince Oct 19, 2023 Accepting new patients
F Marion Dwight MD PA PastSince Sep 5, 2023 Accepting new patients

Locations

2113 Main Hwy
Bamberg, SC 29003
Phone (803) 245-5168

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1629853601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290030120",
            "telephone_number": "803-245-5168",
            "fax_number": "803-245-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 MAIN HWY",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032705",
            "telephone_number": "803-245-5168",
            "fax_number": "803-245-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CRYSTAL",
        "middle_name": "BARR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

Verify at the official NPI Registry.