Active NPI
Michael A Williamson
- Family Nurse Practitioner
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5010167
- Practice address
- 15 Regional Dr
Pinehurst, NC 28374-8850 - Phone
- (910) 295-5511
- Fax
- (910) 235-3432
- NPI assigned
- Jan 15, 2018
- Last updated
- Jan 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5010167 | NC | Primary |
Addresses
Primary practice location
15 Regional Dr
Pinehurst, NC 28374-8850
Mailing address
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1690 US Hwy 1 S
Suite 200
Southern Pines, NC 28387-7037
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 79.14
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 80.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010167 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
104 Professional Dr
Biscoe, NC 27209
Phone (910) 428-1544
210 E Main St
Candor, NC 27229
Phone (910) 974-3116
1001 Monroe St
Ste D
Carthage, NC 28327
Phone (910) 947-3521
304 E Saunders St
Carthage, NC 28327
Phone (910) 947-3000
112 E Ballard St
Ellerbe, NC 28338
Phone (910) 652-2663
15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400
150 Ivey Ln
Ste B
Pinehurst, NC 28374
Phone (910) 215-5210
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350
300 S Middleton St
Robbins, NC 27325
Phone (910) 948-2911
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
921 S Long Dr
Ste 101
Rockingham, NC 28379
Phone (910) 417-3850
3110 S Horner Blvd
Sanford, NC 27332
Phone (910) 295-4400
1690 US Highway 1 S
Ste 200
Southern Pines, NC 28387
Phone (910) 684-5159
3349 US 1 Hwy
Vass, NC 28394
Phone (910) 245-7678
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
dba FirstHealth Family Medicine-Ellerbe
- Family Medicine Physician
- Ellerbe, NC
- NPI 1336154129
-
dba FirstHealth Primary Care-Southern Pines
- Family Medicine Physician
- Southern Pines, NC
- NPI 1710586581
-
dba FirstHealth Primary Care - Tramway
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
dba Pinehurst Medical Clinic Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
dba FirstHealth Family Medicine - Chatham
- Family Medicine Physician
- Pittsboro, NC
- NPI 1447911490
-
dba PMC Reference Lab
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1770091571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748749",
"telephone_number": "910-295-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REGIONAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748850",
"telephone_number": "910-295-5511",
"fax_number": "910-235-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "MICHAEL",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5010167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.