Individual provider Active NPI

Dana Ann Williams, DO

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1720575863
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2021-01809 Issued in NC
Practice address
1321 Oberlin Rd Ste a
Raleigh, NC 27608-2052
Phone
(919) 828-4747
Fax
(919) 828-6765
NPI assigned
Apr 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2021-01809 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1321 Oberlin Rd Ste a
Raleigh, NC 27608-2052

Mailing address

2706 Medical Office PL
Goldsboro, NC 27534-9462
Phone (919) 734-4736

Other practice location 1

3700 Barrett Dr Ste 1000
Raleigh, NC 27609-7173
Phone (919) 828-4747

Other practice location 2

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-2335

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dleventhal276228@direct.vidanthealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724003550 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1254688088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01809NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsboro Pediatrics PA Pediatrics PastSince Jun 22, 2021 Accepting new patients
Oberlin Road Pediatrics, PA Pediatrics PastSince Nov 7, 2025 Accepting new patients
Goldsboro Pediatrics PA Pediatrics PastSince Jun 22, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1720575863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349462",
            "telephone_number": "919-734-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 OBERLIN RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082052",
            "telephone_number": "919-828-4747",
            "fax_number": "919-828-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Barrett Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097173",
            "country_code": "US",
            "telephone_number": "919-828-4747",
            "fax_number": "919-828-6765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-744-2335",
            "fax_number": "252-744-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2021-01809",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dleventhal276228@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.