Deandra Williams, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14775 Issued in NC

Practice address

2200 W Main Street
Ste 520- Office 5204
Durham, NC 27705-2542

Phone

(919) 681-7255

Fax

(919) 681-8856

NPI assigned

Dec 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwilliams607405@direct.medicine.duke.edu

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369

  Single Specialty

  NPD

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1881463602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W MAIN STREET",
            "address_2": "STE 520- OFFICE 5204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052542",
            "telephone_number": "919-681-7255",
            "fax_number": "919-681-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W MAIN STREET",
            "address_2": "STE 520- OFFICE 5204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052542",
            "telephone_number": "919-681-7255",
            "fax_number": "919-681-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEANDRA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consuelo Williams, PMHNP-BC
• Courtney Bowen Williams, D.D.S.
• Crystal Renee Williams, MSW, LCSWA
• Cynthia Erica Williams, MA, LPC,LCASA,NCC
• David George Antonio Williams, M.D.
• Deitrick D Williams
• Desiree Williams
• Destiney Lee'Shon Williams, LCSWA
• Eileen Gail Williams, LCSWA
• Elaina Williams, CPNP

• Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.