Individual provider Active NPI

Flora Leatrice Adams-Williams, P.A.-C

  • Medical Physician Assistant
  • Bloomington, IL
National Provider Identifier
1659457547
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085002207 Issued in IL
Practice address
1523 Lafayette Park Dr Unit 6
Bloomington, IL 61701-6800
Phone
(217) 365-7928
NPI assigned
Oct 31, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085002207 IL Primary

Addresses

Primary practice location

1523 Lafayette Park Dr Unit 6
Bloomington, IL 61701-6800

Mailing address

611 W Park St
Fapc
Urbana, IL 61801-2500

Other practice location 1

3131 N Water St
Decatur, IL 62526-2472
Phone (217) 876-5320

Other names 1

  • Ms. Flora Leatrice Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041105001080 IL Practitioner - Physician Assistant 8123081593 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Apr 15, 2025 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: fadamswilliamsaprn438079@carlehiedirect.net
  • Direct secure messaging: flora.adamswilliams@488678167609348.direct.elationemr.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, 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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1659457547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 LAFAYETTE PARK DR UNIT 6",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617016800",
            "telephone_number": "217-365-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 N Water St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625262472",
            "country_code": "US",
            "telephone_number": "217-876-5320",
            "fax_number": "217-876-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS-WILLIAMS",
        "first_name": "FLORA",
        "middle_name": "LEATRICE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085002207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORA",
            "last_name": "ADAMS",
            "middle_name": "LEATRICE",
            "prefix": "MS.",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.