Individual provider Active NPI

Bernesta Charntel Williams, MD

  • Neurology Physician
  • Shelby, NC
National Provider Identifier
1982804183
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2023-02283 Issued in NC
Practice address
202 E Grover St
Ste 1
Shelby, NC 28150-3977
Phone
(980) 487-2360
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2023-02283 NC Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 2023-02283 NC

Addresses

Primary practice location

202 E Grover St
Ste 1
Shelby, NC 28150-3977

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

2680 Aberdeen Blvd
Gastonia, NC 28054-0637
Phone (704) 446-3222

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwilliams1220496@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208002007 NC Practitioner - Neurology 2961597331 Reassigns benefits to 1 organization
I20251219001329 MD Practitioner - NeurologyPractitioner - Sleep Medicine 2961597331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
C C Neurology LLCGroup PAC ID 4880047646, 3 clinicians

Practice addresses (Care Compare)

11637 Terrace Dr
Suite 100
Waldorf, MD 20602-3707
Phone (301) 870-7287

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023-02283NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C C Neurology LLC Neurology CurrentSince Oct 16, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 2, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 2, 2023 Accepting new patients
Centra Medical Group Southside, LLC Neurology Past Accepting new patients

Locations

11637 Terrace Dr
Ste 100
Waldorf, MD 20602
Phone (301) 870-7287

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

2680 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 446-3222

202 E Grover St
Ste 1
Shelby, NC 28150
Phone (980) 487-2360

202 E Grover St
Shelby, NC 28150
Phone (704) 482-7311

Interoperability endpoints

  • Direct secure messaging: bwilliams1220496@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1982804183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E GROVER ST",
            "address_2": "STE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503977",
            "telephone_number": "980-487-2360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Aberdeen Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280540637",
            "country_code": "US",
            "telephone_number": "704-446-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BERNESTA",
        "middle_name": "CHARNTEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2023-02283",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "2023-02283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwilliams1220496@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "202 E Grover St",
            "address_2": "Ste 1",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281503977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.