GLENDA RIVERS WILLIAMS FNP-BC
NPI 1124579040
Specialist in North Charleston, SC
About Glenda Rivers Williams Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENDA RIVERS WILLIAMS FNP-BC (NPI 1124579040) is an individual specialist in North Charleston, South Carolina, licensed in South Carolina (F19931) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenda Rivers Williams Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Glenda Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
N Charleston, SC 29405
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1982124301 (South Carolina), NPI 1518454818 (South Carolina), NPI 1659872059 (South Carolina)
- 79 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
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 Glenda Williams's NPI number?
The NPI number for Glenda Williams is 1124579040. It was assigned to this individual provider in the NPPES registry on October 14, 2016.
Where is Glenda Williams located?
Glenda Williams practices at 4600 Goer Dr Suite 205, North Charleston, SC 29406. The listed phone number is (843) 554-1029.
What is Glenda Williams's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Glenda Williams enrolled in Medicare?
Yes. Glenda Williams is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Glenda Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenda Williams reassigns Medicare benefits to Fetter Health Care Network Inc (N Charleston, SC). The 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 Glenda Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glenda Williams accept?
Health plans from First Choice Next list Glenda Williams 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 Glenda Williams was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Glenda Rivers Williams, FNP-BC · NPI 1124579040
Specialist provider in North Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since October 14, 2016.
## Identity
- **NPI:** 1124579040 (Entity type: Individual)
- **Enumerated:** October 14, 2016
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** F19931 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4600 GOER DR, SUITE 205, North Charleston, SC 29406-6500
- **Phone:** (843) 554-1029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Fetter Health Care Network Inc (NPI 1487768842, N Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1124579040) · Data from the CMS NPPES public registry.