Active NPI
Andrea M Williams, MD
- Otolaryngology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 22182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89134F5 | Medicaid | NC | |
| GP4146 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- 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
- Cherokee Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22182 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose Throat and Audiology Associates | Current | Accepting new patients | |
| Ear Nose Throat & Audiology Associates | Otolaryngology | Current | Accepting new patients |
| Ear Nose Throat & Audiology Associates of the Carolinas, P.a. | Otolaryngology | Current | 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
- 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.
-
- Otolaryngology Physician
- Charlotte, NC
- NPI 1093769069
-
- Otolaryngology Physician
- Rock Hill, SC
- NPI 1366632655
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Union, SC
- NPI 1902043185
-
- Otolaryngology Physician
- Rock Hill, SC
- NPI 1508833690
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
- General Acute Care Hospital
- Gaffney, SC
- NPI 1205307378
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.