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MR. PEVIN WILLIAMS CRNA
NPI 1457458523
Nurse Anesthetist, Certified Registered in Fayetteville, NC

Active since September 20, 2006
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 609-6440(910) 609-5365 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Pevin Williams Crna NPPES

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

MR. PEVIN WILLIAMS CRNA (NPI 1457458523) is an individual nurse anesthetist, certified registered in Fayetteville, North Carolina, licensed in North Carolina (149353) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1457458523
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. PEVIN WILLIAMSCredential: CRNA
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 609-6448 · Fax (910) 609-7040
Phone(910) 609-6440
Fax(910) 609-5365
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1457458523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 149353
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1638 OWEN DR, Fayetteville, NC 28304
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Other Identifiers 3

Medicaid8052601NC
Medicare PIN2610951NC
Other193259NC · Medcost

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Pevin Williams Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Pevin Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Digestive Health Endoscopy Center, LLC
0.4 mi
Endoscopy
3202 BOONE TRL
Fayetteville, NC 28306
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1912340944 (910) 323-2477
Carolina Anesthesia Associates PA
122 mi
Anesthesiology
646 HARTNESS ROAD
Statesville, NC 28677
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1699723791 (704) 871-0081
Medstream Anesthesia PLLC
1,029 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 493 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

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 20

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

MR. KEVIN TRAVIS WORTH CRNA
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
DR. OMAIR MOHAMED
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3780
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000

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 Pevin Williams's NPI number?

The NPI number for Pevin Williams is 1457458523. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Pevin Williams located?

Pevin Williams practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 609-6440.

What is Pevin Williams's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Pevin Williams enrolled in Medicare?

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

Which organizations bill Medicare for Pevin Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pevin Williams reassigns Medicare benefits to 3 organizations: Digestive Health Endoscopy Center, LLC (Fayetteville, NC), Carolina Anesthesia Associates PA (Statesville, NC) and Medstream Anesthesia PLLC (Richardson, 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 Pevin Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pevin Williams accept?

Health plans from Cigna Healthcare list Pevin 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 Pevin Williams was last updated on February 14, 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.