Individual provider Active NPI

Karma Williams

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1871156711
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011685 Issued in NC
Practice address
250 Huff Dr
Jacksonville, NC 28546-7369
Phone
(910) 353-4414
Fax
(910) 353-2972
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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 5011685 NC Primary

Addresses

Primary practice location

250 Huff Dr
Jacksonville, NC 28546-7369

Mailing address

102 Pinyon CT
Jacksonville, NC 28546-6842
Phone (317) 498-7819

Other identifiers 1

IdentifierTypeStateIssuer
5011685OtherNCNORTH CAROLINA BOARD OF NURSING

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820003877 NC Practitioner - Nurse Practitioner 5294063889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Johnston Pain Management PAGroup PAC ID 9931167178, 16 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

250 Huff Dr
Jacksonville, NC 28546-7369
Phone (910) 353-4414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.09 of 100Reported as group
Quality
57.41
Promoting interoperability
0
Improvement activities
40
Cost
82.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011685NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Pain Management PA CurrentSince Jun 1, 2019 Accepting new patients

Locations

14057 US Highway 17
Ste 220
Hampstead, NC 28443
Phone (910) 353-4414

250 Huff Dr
Jacksonville, NC 28546
Phone (910) 353-4414

Organizations & group practices 1

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 2

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1871156711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PINYON CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466842",
            "telephone_number": "317-498-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HUFF DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467369",
            "telephone_number": "910-353-4414",
            "fax_number": "910-353-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KARMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF NURSING",
            "identifier": "5011685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.