Individual provider Active NPI

Rufus Delro Williams Jr., M.P.A.S., PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1902851041
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000102896 Issued in NC
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000102896OtherNCNC MEDICAL BOARD

Electronic endpoints 3

TypeEndpointUseAffiliation
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, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20061122000119 NC Practitioner - Physician Assistant 5395743546 Reassigns benefits to 12 organizations
I20220620002032 VA Practitioner - Physician Assistant 5395743546 Reassigns benefits to 3 organizations
I20220809001292 FL Practitioner - Physician Assistant 5395743546 Reassigns benefits to 4 organizations
I20230124000089 GA Practitioner - Physician Assistant 5395743546 Reassigns benefits to 2 organizations
I20260512002375 SC Practitioner - Physician Assistant 5395743546 Reassigns benefits to 1 organization

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 Hospital, Asheville, NC, CCN 340002

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.4 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11324GAMDPharmacist
000102896NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
B & D Integrated Health Services Physician Assistant CurrentSince Dec 17, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 24, 2015 Accepting new patients
Franklin Regional Emergency Physicians PLLC CurrentSince Mar 29, 2015 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 24, 2015 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

  • Direct secure messaging: rwilliams143486@direct.unc.nchie.net
  • Direct secure messaging: 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.

View all 24

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.