Individual provider Active NPI

Tracy Cunningham Williams, FNP

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1801107750
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004771 Issued in NC
Practice address
1 Saint Dunstans Rd
Ste. 100
Asheville, NC 28803-2790
Phone
(828) 252-4020
Fax
(828) 252-4022
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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 5004771 NC Primary

Addresses

Primary practice location

1 Saint Dunstans Rd
Ste. 100
Asheville, NC 28803-2790

Mailing address

5420 Wade Park Blvd
Ste. 106
Raleigh, NC 27607-4188
Phone (919) 851-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210310001037 AL Practitioner - Nurse Practitioner 4486787686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center Cardiology, PCGroup PAC ID 5092768341, 7 clinicians

Practice addresses (Care Compare)

2375 Champions Blvd
Auburn, AL 36830-6471
Phone (334) 321-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004771NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center Cardiology, PC CurrentSince Feb 1, 2021 Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients

Locations

2375 Champions Blvd
Auburn, AL 36830
Phone (334) 745-6447

121 N 20th St
Ste 20B
Opelika, AL 36801
Phone (334) 749-3436

Interoperability endpoints

  • Direct secure messaging: tracy.williams.1@4384.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4384/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1801107750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 WADE PARK BLVD",
            "address_2": "STE. 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074188",
            "telephone_number": "919-851-2174",
            "fax_number": "919-854-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT DUNSTANS RD",
            "address_2": "STE. 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032790",
            "telephone_number": "828-252-4020",
            "fax_number": "828-252-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACY",
        "middle_name": "CUNNINGHAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.