Active NPI
Robert E Williams, MD
- Geriatric Psychiatry Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 200301310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Brody School of Medicine at East Carolina University, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-01988 | NC | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Wholehealth Aco LLC | Geriatric Medicine | Current | Accepting new patients |
| Eventus WH Southeast, LLC | Current | Accepting new patients | |
| Eventus WH PLLC Care, LLC | Current | Accepting new patients | |
| Eventus Wholehealth, PLLC | Current | Accepting new patients | |
| Eventus WH Southeast - South Carolina, LLC | Current | 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
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1487494811
SC
-
- Geriatric Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1023796307
-
- Nurse Practitioner
- Columbia, SC
- NPI 1790503571
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1639990658
-
- Psychologist
- Cary, NC
- NPI 1326598459
-
- Adult Mental Health Clinic/Center
- Cary, NC
- NPI 1639298714
-
- Clinical Social Worker
- Asheboro, NC
- NPI 1386662831
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.