Active NPI
Lennox George Williams, MD
- Surgery Physician
- Jacksonville, NC
National Provider Identifier
1770529448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36292
- Practice address
- 255 Memorial Dr
Onslow Surgical Clinic PA
Jacksonville, NC 28546-6333 - Phone
- (910) 353-7848
- Fax
- (910) 353-5052
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36292 | NC | Primary |
Addresses
Primary practice location
255 Memorial Dr
Onslow Surgical Clinic PA
Jacksonville, NC 28546-6333
Mailing address
255 Memorial Drive
Jacksonville, NC 28546
Phone (910) 353-7848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8987952 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1770529448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 MEMORIAL DRIVE",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-353-7848",
"fax_number": "910-353-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MEMORIAL DR",
"address_2": "ONSLOW SURGICAL CLINIC PA",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-7848",
"fax_number": "910-353-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LENNOX",
"middle_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "36292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8987952",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.