NPIMap

Individual provider Active NPI

Carlos A Williams, MD

  • Neurology Physician
  • South Hill, VA
National Provider Identifier
1669464855
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101054817 Issued in VA
Practice address
501 Lombardy St
South Hill, VA 23970-2107
Phone
(434) 447-9033
Fax
(434) 447-9034
NPI assigned
Aug 16, 2005
Last updated
Nov 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101054817 VA Primary

Addresses

Primary practice location

501 Lombardy St
South Hill, VA 23970-2107

Mailing address

PO Box 654
South Hill, VA 23970-0654
Phone (434) 447-9033

Other identifiers 4

IdentifierTypeStateIssuer
007116241MedicaidVA
89063V9MedicaidNC
285322OtherVAANTHEM
130023188OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000976 VA Practitioner - Neurology 8921096546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2524 Houghton Ave
South Boston, VA 24592-2600
Phone (434) 575-1336

380 Washington St
Boydton, VA 23917-3415
Phone (434) 738-6420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Access to Health Services, Inc CurrentSince Aug 24, 2021 Accepting new patients
Commonwealth Neuro Specialists PC Neurology CurrentSince Oct 1, 2000 Accepting new patients
Piedmont Access to Health Services Inc CurrentSince Aug 24, 2021 Accepting new patients
Piedmont Access to Health Services, Inc Current Accepting new patients
Community Neurological Services, LLC PastSince Apr 1, 2001 Accepting new patients
Piedmont Access to Health Services, Inc Past Accepting new patients
MCV Associated Physicians Neurology PastSince Sep 28, 2021 Accepting new patients
Piedmont Access to Health Services, Inc PastSince Feb 25, 2024 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

380 Washington St
Boydton, VA 23917
Phone (434) 738-6102

30 S Main St
Chatham, VA 24531
Phone (434) 432-4443

336 Old Riverside Dr
Danville, VA 24541
Phone (434) 791-4125

705 Main St
Danville, VA 24541
Phone (434) 791-4122

315 Hospital Dr
Martinsville, VA 24112
Phone (276) 224-2655

501 Lombardy St
South Hill, VA 23970
Phone (434) 447-3220

Interoperability endpoints

  • Direct secure messaging: carlos.williams@paths.eclinicaldirectplus.com

Organizations & group practices 9

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 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1669464855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700654",
            "telephone_number": "434-447-9033",
            "fax_number": "434-447-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LOMBARDY ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702107",
            "telephone_number": "434-447-9033",
            "fax_number": "434-447-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101054817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007116241",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89063V9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "285322",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130023188",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.