DEKORSHA KEYERA WILLIAMS APRN-FNP-BC
NPI 1023875218
Nurse Practitioner - Family in Elloree, SC
About Dekorsha Keyera Williams Aprn-fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEKORSHA KEYERA WILLIAMS APRN-FNP-BC (NPI 1023875218) is an individual family provider in Elloree, South Carolina, licensed in North Carolina (5020588) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dekorsha Keyera Williams Aprn-fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dekorsha Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Locust, NC 28097
- Reassigned Medicare billing, North Carolina enrollment
- 106 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- 728 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dekorsha Williams's NPI number?
The NPI number for Dekorsha Williams is 1023875218. It was assigned to this individual provider in the NPPES registry on March 4, 2024.
Where is Dekorsha Williams located?
Dekorsha Williams practices at 1013 Harlin Street, Elloree, SC 29047. The listed phone number is (803) 928-0126.
What is Dekorsha Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dekorsha Williams enrolled in Medicare?
Yes. Dekorsha Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dekorsha Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dekorsha Williams reassigns Medicare benefits to 2 organizations: Mainstreet And Kidsstreet Of North Carolina PLLC (Locust, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dekorsha Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dekorsha Williams was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dekorsha Keyera Williams, APRN-FNP-BC · NPI 1023875218
Family physician in Elloree, South Carolina. Individual provider, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1023875218 (Entity type: Individual)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5020588 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1013 HARLIN STREET, Elloree, SC 29047
- **Phone:** (803) 928-0126
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mainstreet And Kidsstreet Of North Carolina PLLC (NPI 1144803040, Locust, NC); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023875218) · Data from the CMS NPPES public registry.