Individual provider Active NPI

Emma Cahoon Williams, FNP

  • Family Nurse Practitioner
  • Swanquarter, NC
National Provider Identifier
1750995031
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013504 Issued in NC
Practice address
1151 Main Street
Swan Quarter, NC 27885
Phone
(252) 926-4399
Fax
(252) 926-0038
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013504 NC Primary

Addresses

Primary practice location

1151 Main Street
Swan Quarter, NC 27885

Mailing address

PO Box 100
Swanquarter, NC 27885-0100
Phone (252) 926-4399

Other practice location 1

720 Quarter Rd
Swanquarter, NC 27885-9210
Phone (252) 542-0191

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
I20210216001786 NC Practitioner - Nurse Practitioner 7113332651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1151 Main St
Swanquarter, NC 27885-9754
Phone 25292642004387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013504NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Hyde Office of Accountant CurrentSince Dec 15, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 7, 2026 Accepting new patients
County of Hyde Office of Accountant PastSince Aug 15, 2021 Accepting new patients

Locations

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

1151 Main St
Swanquarter, NC 27885
Phone (252) 926-4200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1750995031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "SWANQUARTER",
            "state": "NC",
            "postal_code": "278850100",
            "telephone_number": "252-926-4399",
            "fax_number": "252-926-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MAIN STREET",
            "city": "SWAN QUARTER",
            "state": "NC",
            "postal_code": "27885",
            "telephone_number": "252-926-4399",
            "fax_number": "252-926-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Quarter Rd",
            "address_purpose": "LOCATION",
            "city": "Swanquarter",
            "state": "NC",
            "postal_code": "278859210",
            "country_code": "US",
            "telephone_number": "252-542-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMMA",
        "middle_name": "CAHOON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swanquarter, NC

Sources for this page

Verify at the official NPI Registry.