Individual provider Active NPI

Robert E Williams, MD

  • Geriatric Psychiatry Physician
  • Durham, NC
National Provider Identifier
1861576738
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
200301310 Issued in NC
Practice address
5407 Sky Lane Dr
Durham, NC 27704-3953
Phone
(919) 682-0323
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X T-01988 NC
Geriatric Psychiatry Physician 2084P0805X 200301310 NC Primary

Addresses

Primary practice location

5407 Sky Lane Dr
Durham, NC 27704-3953

Mailing address

5407 Sky Lane Dr
Durham, NC 27704-3953
Phone (919) 682-0323

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040811001069 NC Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1951373745 Reassigns benefits to 4 organizations
I20251218004146 SC Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1951373745 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Brody School of Medicine at East Carolina University, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

1703 Laurel St
Columbia, SC 29201-2660
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-01988NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC Geriatric Medicine CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH Southeast, LLC CurrentSince Jan 1, 2025 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus Wholehealth, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Eventus WH Southeast - South Carolina, LLC CurrentSince Nov 1, 2025 Accepting new patients
Regional Psychiatry, PLLC Past Accepting new patients
Private Diagnostic Clinic, PLLC Past Accepting new patients
Therapeutic Alternatives Incorporated Past Accepting new patients

Locations

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1861576738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 SKY LANE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043953",
            "telephone_number": "919-682-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 SKY LANE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043953",
            "telephone_number": "919-682-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "T-01988",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "200301310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.