Individual provider Active NPI

Andrea M Williams, MD

  • Otolaryngology Physician
  • Charlotte, NC
National Provider Identifier
1992759971
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22182 Issued in SC
Practice address
7006 Shannon Willow Rd
Charlotte, NC 28226-1318
Phone
(704) 544-6533
Fax
(704) 544-6583
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 22182 SC Primary

Addresses

Primary practice location

7006 Shannon Willow Rd
Charlotte, NC 28226-1318

Mailing address

8334 Pineville Matthews Rd
Suite 103-151
Charlotte, NC 28226-3774
Phone (704) 544-6533

Other identifiers 2

IdentifierTypeStateIssuer
89134F5MedicaidNC
GP4146MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20051012000753 SC Practitioner - Otolaryngology 5294775508 Reassigns benefits to 1 organization
I20120131000298 NC Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5294775508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7006 Shannon Willow Rd
Charlotte, NC 28226-1318
Phone (704) 544-6533

744 Arden LN
Suite 200
Rock Hill, SC 29732-3287
Phone (803) 328-3686

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22182SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose Throat and Audiology Associates Current Accepting new patients
Ear Nose Throat & Audiology Associates Otolaryngology CurrentSince May 15, 2005 Accepting new patients
Ear Nose Throat & Audiology Associates of the Carolinas, P.a. Otolaryngology CurrentSince Jul 21, 2003 Accepting new patients
Parmann Group, PA Otolaryngology Past Accepting new patients

Locations

7006 Shannon Willow Rd
Charlotte, NC 28226
Phone (704) 544-6533

8334 Pineville Matthews Rd
Ste 103151
Charlotte, NC 28226

1506 N Limestone St
Ste B
Gaffney, SC 29340
Phone (864) 487-4451

744 Arden Ln
Ste 200
Rock Hill, SC 29732
Phone (803) 328-3686

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBIGBA/Endpoint/EBIGBA

Organizations & group practices 4

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 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1992759971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 103-151",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263774",
            "telephone_number": "704-544-6533",
            "fax_number": "704-544-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 SHANNON WILLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "704-544-6533",
            "fax_number": "704-544-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "22182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134F5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4146",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.