Organization Active NPI

David L. Williams, M.D., P.a.

  • Hematology & Oncology Physician
  • Southern Pines, NC
National Provider Identifier
1982666954
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
40122 Issued in NC
Legal business name
DAVID L. WILLIAMS, M.D., P.A.
Practice address
400 NW Broad St
Southern Pines, NC 28387-4804
Phone
(910) 692-2061
NPI assigned
Apr 5, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. David L Williams, M.D.
Title
President
Phone
(910) 692-2061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 40122 NC Primary

Addresses

Primary practice location

400 NW Broad St
Southern Pines, NC 28387-4804

Mailing address

400 NW Broad St
Southern Pines, NC 28387-4804
Phone (910) 692-2061

Other identifiers 1

IdentifierTypeStateIssuer
8987677MedicaidNC

National Provider Directory

National Provider Directory

Locations

400 NW Broad St
Southern Pnes, NC 28387
Phone (910) 692-2061

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1982666954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874804",
            "telephone_number": "910-692-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874804",
            "telephone_number": "910-692-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. WILLIAMS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-692-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "40122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987677",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.