Individual provider Active NPI

John Everett Williams, MD

  • Anesthesiology Physician
  • Monroe, NC
National Provider Identifier
1699763151
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2004-01602 Issued in NC
Practice address
600 Hospital Dr
Monroe, NC 28112-6000
Phone
(704) 283-3137
Fax
(704) 283-3139
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2004-01602 NC Primary

Addresses

Primary practice location

600 Hospital Dr
Monroe, NC 28112-6000

Mailing address

PO Box 36351
Charlotte, NC 28236-6351
Phone (704) 377-5772

Other identifiers 1

IdentifierTypeStateIssuer
5900316MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050209000993 NC Practitioner - Anesthesiology 1052216280 Reassigns benefits to 3 organizations
I20180717003074 NH Practitioner - Anesthesiology 1052216280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-01602NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Franklin CurrentSince Jan 1, 2019 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Feb 1, 2019 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jan 3, 2005 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Dec 15, 2015 Accepting new patients
Lrghealthcare CurrentSince Jan 1, 2019 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jan 3, 2005 Accepting new patients
Amsol Physicians of Columbus Ga LLC Anesthesiology Past Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

Organizations & group practices 7

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1699763151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36351",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282366351",
            "telephone_number": "704-377-5772",
            "fax_number": "704-377-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000",
            "telephone_number": "704-283-3137",
            "fax_number": "704-283-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2004-01602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900316",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.