Individual provider Active NPI

Meredith M. Williams, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1649534629
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03608 Issued in NC
Practice address
195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Phone
(336) 768-6211
Fax
(336) 768-6869
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 0010-03608 NC Primary

Addresses

Primary practice location

195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967

Mailing address

2025 Frontis Plaza Blvd
Suite 200
Winston Salem, NC 27103-5663
Phone (336) 768-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120727000632 NC Practitioner - Physician Assistant 8325204829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab Medicine of the Carolinas PLLCGroup PAC ID 5890194682, 7 clinicians

Practice addresses (Care Compare)

2554 Lewisville Clemmons Rd
Suite 201
Clemmons, NC 27012-8749
Phone (336) 986-9537

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
81.46
Promoting interoperability
100
Improvement activities
40
Cost
76.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Medicine of the Carolinas PLLC CurrentSince Dec 1, 2025 Accepting new patients
Digestive Health Specialists, PA CurrentSince Jan 13, 2014 Accepting new patients
Digestive Health Specialists, PA CurrentSince Jan 13, 2014 Accepting new patients

Locations

2554 Lewisville Clemmons Rd
Ste 201
Clemmons, NC 27012
Phone (336) 448-4407

2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621

195 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 397-5264

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1649534629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FRONTIS PLAZA BLVD",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035663",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036967",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MEREDITH",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.