Individual provider Active NPI

Dana Kern Williams, NP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1760071492
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014991 Issued in NC
Practice address
2600 E 7TH St Unit a
Charlotte, NC 28204-4398
Phone
(704) 372-7900
NPI assigned
Jan 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 5014991 NC Primary

Addresses

Primary practice location

2600 E 7TH St Unit a
Charlotte, NC 28204-4398

Mailing address

2600 E 7TH St Unit a
Charlotte, NC 28204-4398
Phone (704) 372-7900

Other names 1

  • Mrs. Dana Kern Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211102001982 NC Practitioner - Nurse Practitioner 9436547973 Reassigns benefits to 1 organization
I20240208000258 SC Practitioner - Nurse Practitioner 9436547973 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

2600 E 7TH St
Unit a
Charlotte, NC 28204-4398
Phone (704) 372-7900

420 Herlong Ave S
Suite 101
Rock Hill, SC 29732-1091
Phone (803) 327-2355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014991NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Asthma and Allergy Center PA CurrentSince Jan 3, 2022 Accepting new patients

Locations

3426 Toringdon Way
Ste 102
Charlotte, NC 28277

11840 Southmore Dr
Ste 175
Charlotte, NC 28277

14130 Rivergate Pkwy
#C2125
Charlotte, NC 28273

8401 University Exec Park Dr
Ste 128
Charlotte, NC 28262

5970 Fairview Rd
Ste 500
Charlotte, NC 28210
Phone (704) 680-3140

14130 Rivergate Pkwy
Ste 125
Charlotte, NC 28273

2600 E 7th St
Unit A
Charlotte, NC 28204
Phone (704) 998-0840

900 Branchview Dr NE
Ste 100
Concord, NC 28025
Phone (704) 792-1131

19475 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5136

620 Summit Crossing Pl
Ste 202
Gastonia, NC 28054

15940 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 655-1466

855 Sam Newell Rd
Ste 206
Matthews, NC 28105
Phone (704) 341-9600

1995 Wellness Blvd
Ste 200
Monroe, NC 28110
Phone (704) 289-3900

311 Williamson Rd
Ste 100
Mooresville, NC 28117
Phone (704) 664-2552

114 Lee St
Shelby, NC 28150
Phone (704) 480-0685

420 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 327-2355

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dana.williams.p1@direct.caac.nextgenshare.com

Organizations & group practices 1

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1760071492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044398",
            "telephone_number": "704-372-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044398",
            "telephone_number": "704-372-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANA",
        "middle_name": "KERN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "WILLIAMS",
            "middle_name": "KERN",
            "prefix": "MRS.",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.