Individual provider Active NPI

Jeffrey Paul Williams, FNP-C

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1992005813
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004927 Issued in NC
Practice address
401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463
Phone
(828) 757-6146
Fax
(828) 757-5944
NPI assigned
Oct 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004927 NC Primary

Addresses

Primary practice location

401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463

Mailing address

PO Box 1490
Boone, NC 28607-1490
Phone (828) 262-3886

Other practice location 1

1031 Morganton Blvd SW Ste C
Lenoir, NC 28645-5676
Phone (828) 757-8240

Other practice location 2

305 W Union St
Morganton, NC 28655-3782
Phone (828) 439-9948

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilliams462565@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110829000403 NC Practitioner - Nurse Practitioner 7113197229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Phone (828) 757-8240

401 Mulberry St SW
Suite 202
Lenoir, NC 28645-5463
Phone (828) 757-6146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004927NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Sep 5, 2018 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Sep 5, 2018 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Sep 5, 2018 Accepting new patients
Fryecare Morganton, LLC Past Accepting new patients
Medical Alliance Clinic, PLLC Past Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

4355 Hickory Blvd
Ste 2
Granite Falls, NC 28630
Phone (828) 757-5050

36 14th Ave NE
Hickory, NC 28601
Phone (828) 757-6265

1031 Morganton Blvd SW
Ste B
Lenoir, NC 28645
Phone (828) 757-6200

1031 Morganton Blvd SW
Ste C
Lenoir, NC 28645
Phone (828) 757-8240

401 Mulberry St SW
Ste 202
Lenoir, NC 28645
Phone (828) 757-6146

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

Interoperability endpoints

  • Direct secure messaging: jwilliams462565@direct.unc.nchie.net
  • Direct secure messaging: jeffrey.williams.p110@direct.tenet.nextgenshare.com

Organizations & group practices 7

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.

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1992005813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886",
            "fax_number": "828-263-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW STE 202",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6146",
            "fax_number": "828-757-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Morganton Blvd SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455676",
            "country_code": "US",
            "telephone_number": "828-757-8240",
            "fax_number": "828-757-8241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Union St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553782",
            "country_code": "US",
            "telephone_number": "828-439-9948",
            "fax_number": "828-439-9917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilliams462565@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "401 Mulberry St SW Ste 202",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.