Active NPI
Rufus Delro Williams Jr., M.P.A.S., PA-C
- Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000102896
- Practice address
- 4420 Lake Boone TRL
Raleigh, NC 27607-7505 - Phone
- (919) 784-3038
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000102896 | NC | Primary |
Addresses
Primary practice location
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Mailing address
PO Box K
Goldsboro, NC 27533-9710
Phone (919) 580-0004
Other practice location 1
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 731-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000102896 | Other | NC | NC MEDICAL BOARD |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | rwilliams143486@direct.unc.nchie.net | Direct | |
| Direct Messaging Address | rwilliams143495@direct.UNCnchie.net | Direct | |
| Direct Messaging Address | rwilliams143486@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, FL, GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
1643 NW 136TH Ave
Sunrise, FL 33323-2857
Hospital & facility affiliations
- Memorial Mission Hospital and Asheville Surgery Ce
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.4 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11324 | GA | MD | Pharmacist |
| 000102896 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & D Integrated Health Services | Physician Assistant | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Franklin Regional Emergency Physicians PLLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| NC Comprehensive Hospitalists PLLC | Past | Accepting new patients | |
| Louisburg Hospitalists, PLLC | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080
249 E NC Highway 54
Ste 310
Durham, NC 27713
Phone (919) 753-1080
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
Interoperability endpoints
- rwilliams143486@direct.unc.nchie.net
- rwilliams143495@direct.uncnchie.net
Organizations & group practices 24
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Family Medicine Physician
- Durham, NC
- NPI 1215022926
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1861160038
-
- Emergency Medicine Physician
- Goldsboro, NC
- NPI 1164418232
-
- Emergency Care Clinic/Center
- Goldsboro, NC
- NPI 1952397028
-
- Clinical Medical Laboratory
- Durham, NC
- NPI 1295196780
-
- Emergency Medicine Physician
- Eden, NC
- NPI 1518374800
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1790736973
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1386388874
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902851041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX K",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275339710",
"telephone_number": "919-580-0004",
"fax_number": "919-580-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-3038"
}
],
"practiceLocations": [
{
"address_1": "2700 Wayne Memorial Dr",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275349494",
"country_code": "US",
"telephone_number": "919-731-6060",
"fax_number": "919-731-6354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RUFUS",
"middle_name": "DELRO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.P.A.S., PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2023-03-07",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "000102896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL BOARD",
"identifier": "000102896",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "rwilliams143486@direct.unc.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2501 Blue Ridge Rd Ste 250",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076346",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwilliams143495@direct.UNCnchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2700 Wayne Memorial Dr",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275349494",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwilliams143486@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4420 Lake Boone Trl",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.