1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Physician Assistant
  6. NPI Profile

JEFFREY W WILLIAMS PA-C
NPI 1164785911
Physician Assistant - Surgical in Winston Salem, NC

Active since June 18, 2012PECOS Enrolled
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-7021 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jeffrey W Williams Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY W WILLIAMS PA-C (NPI 1164785911) is an individual surgical provider in Winston Salem, North Carolina, licensed in North Carolina (0010-03582) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164785911
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJEFFREY W WILLIAMSCredential: PA-C
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 602658Charlotte, NC 28260-2658 · (336) 716-2255
Phone(336) 716-7021
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateMay 5, 2014
✔ NPI 1164785911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 0010-03582
MEDICAL CENTER BLVD, Winston Salem, NC 27157
Open in Google Maps ↗

Other Identifiers 2

Medicare PINNC8094ANC
Medicaid8102606NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey W Williams Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

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 Jeffrey Williams's NPI number?

The NPI number for Jeffrey Williams is 1164785911. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Jeffrey Williams located?

Jeffrey Williams practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-7021.

What is Jeffrey Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeffrey Williams enrolled in Medicare?

Yes. Jeffrey Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Williams was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.