WILLIAMS PRIMARY CARE PC
NPI 1104981018
Internal Medicine in Tunkhannock, PA
About Williams Primary Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAMS PRIMARY CARE PC (NPI 1104981018) is a healthcare organization registered as an internal medicine in Tunkhannock, Pennsylvania and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Daniel Williams, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Williams Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Williams Primary Care PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D1019824
Williams Primary Care PC · Tunkhannock, PAFrequently 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 Williams Primary Care PC's NPI number?
The NPI number for Williams Primary Care PC is 1104981018. It was assigned to this organization in the NPPES registry on December 22, 2006.
Where is Williams Primary Care PC located?
Williams Primary Care PC is located at 71 Hollowcrest Drive Suite 3, Tunkhannock, PA 18657. The listed phone number is (570) 836-4705.
What is Williams Primary Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Williams Primary Care PC enrolled in Medicare?
Yes. Williams Primary Care PC is registered in the Medicare PECOS enrollment system.
When is Williams Primary Care PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Williams Primary Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Williams Primary Care PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Williams Primary Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D1019824) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Williams Primary Care PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Williams Primary Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Williams Primary Care PC was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Williams Primary Care Pc · NPI 1104981018
Internal Medicine organization in Tunkhannock, Pennsylvania. Organization record, active in the CMS NPPES registry since December 22, 2006.
## Identity
- **NPI:** 1104981018 (Entity type: Organization)
- **Enumerated:** December 22, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Williams, OWNER
## Practice location
- **Address:** 71 HOLLOWCREST DRIVE, SUITE 3, Tunkhannock, PA 18657
- **Phone:** (570) 836-4705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 068646 (PA); Medicaid 001972184 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104981018) · Data from the CMS NPPES public registry.