THERESA WILLIAMSON PA
NPI 1417049420
Physician Assistant in Lumberton, NC

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
2003 GODWIN AVE, LUMBERTON, NC 28358(910) 674-4814 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Williamson Pa NPPES

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

THERESA WILLIAMSON PA (NPI 1417049420) is an individual physician assistant in Lumberton, North Carolina, licensed in North Carolina (101678) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and is a graduate of Wake Forest University School Of Medicine (1991).

NPPES Registry Identity

NPI1417049420
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA WILLIAMSONCredential: PA
Location Address2003 GODWIN AVELumberton, NC 28358-3149
Mailing Address350 Pee Dee Ave, Suite AAlbemarle, NC 28001-4932 · (704) 986-1500 · Fax (910) 738-8230
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1991
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 1, 2017
NPI 1417049420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 101678
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2003 GODWIN AVE, Lumberton, NC 28358

Other Identifiers 1

Medicare UPINP91257

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Williamson Pa 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.

PECOS PAC ID2567507726
PECOS Enrollment IDI20100226000882
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services26 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
41 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychiatry & Neurology (Psychiatry)
2003 GODWIN AVE, SUITE A
LUMBERTON, NC 28358
Counselor (Mental Health)
2003 GODWIN AVE, SUITE A
LUMBERTON, NC 28358
Counselor (Mental Health)
2003 GODWIN AVE, SUITE A
LUMBERTON, NC 28358
Social Worker (Clinical)
2003 GODWIN AVE, SUITE A
LUMBERTON, NC 28358
Community/Behavioral Health
2003 GODWIN AVE, STE A
LUMBERTON, NC 28358
Counselor (Mental Health)
2003 GODWIN AVE
LUMBERTON, NC 28358
Social Worker (Clinical)
2003 GODWIN AVE, SUITE A
LUMBERTON, NC 28358
Community/Behavioral Health
2003 GODWIN AVE, A1
LUMBERTON, NC 28358

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 Theresa Williamson's NPI number?

The NPI number for Theresa Williamson is 1417049420. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Theresa Williamson located?

Theresa Williamson practices at 2003 Godwin Ave, Lumberton, NC 28358. The listed phone number is (910) 674-4814.

What is Theresa Williamson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Theresa Williamson enrolled in Medicare?

Yes. Theresa Williamson 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.

What insurance does Theresa Williamson accept?

Health plans from Blue Cross and Blue Shield of NC list Theresa Williamson 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.

Is Theresa Williamson affiliated with any hospitals?

According to CMS data, Theresa Williamson is affiliated with Southeastern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Williamson was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.