Active NPI
Leslie Dawn Williams, FNP
- Nurse Practitioner
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011781
- Practice address
- 4740 Commercial Park CT
Clemmons, NC 27012-9387 - Phone
- (336) 245-9521
- Fax
- (855) 308-2340
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5011781 | NC | |
| Nurse Practitioner | 363L00000X | 5011781 | NC | Primary |
Addresses
Primary practice location
4740 Commercial Park CT
Clemmons, NC 27012-9387
Mailing address
PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS2424900282 | Other | NC | CARESOURCE |
| LX492J-AA | Other | NC | DEVOTED HEALTH |
| NN8112A | Other | NC | MEDICARE |
| 2074Z | Other | NC | BCBS NC |
| 1871159707 | Medicaid | NC | |
| 330765 | Other | NC | MEDCOST |
| Q00893939 | Other | NC | RAILROAD MEDICARE |
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
Enrollment records 1
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
Practice addresses (Care Compare)
4740 Commercial Park CT
Clemmons, NC 27012-9387
Phone (336) 245-9521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamond Family Medicine, PLLC | Current | Accepting new patients |
Locations
4740 Commercial Park Ct
Clemmons, NC 27012
Phone (336) 245-9521
3922 W Market St
Greensboro, NC 27407
Phone (336) 252-3993
317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344
1287 Creekshire Way
Winston Salem, NC 27103
Phone (336) 245-9521
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.
-
dba Blue Sky MD
- Family Medicine Physician
- Hendersonville, NC
- NPI 1629037270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1871159707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790360",
"telephone_number": "888-339-6065",
"fax_number": "855-308-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 COMMERCIAL PARK CT",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129387",
"telephone_number": "336-245-9521",
"fax_number": "855-308-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LESLIE",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5011781",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5011781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "CS2424900282",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVOTED HEALTH",
"identifier": "LX492J-AA",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NN8112A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "2074Z",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871159707",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "330765",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "Q00893939",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.