KIMBERLY ANTHONY WILLIAMS
NPI 1477239234
Nurse Practitioner - Gerontology in Greensboro, NC

Q: What is Kimberly Williams's NPI number?

The NPI number for Kimberly Williams is 1477239234. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Kimberly Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Williams was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since June 26, 2023PECOS EnrolledAccepts Medicare Assignment

2041 WILLOW RD, GREENSBORO, NC 27406(540) 769-3964 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Anthony Williams NPPES

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

KIMBERLY ANTHONY WILLIAMS (NPI 1477239234) is an individual gerontology provider in Greensboro, North Carolina, licensed in North Carolina (5018277) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477239234

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKIMBERLY ANTHONY WILLIAMS

Location Address2041 WILLOW RDGreensboro, NC 27406-3831

Mailing Address130 Church Ave SwRoanoke, VA 24011-1906

Phone(540) 769-3964

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 26, 2023

Last NPPES UpdateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1477239234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NC · 5018277

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5018277 (NC)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5018277 (NC)

2041 WILLOW RD, Greensboro, NC 27406

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Secondary Practice Location 1

Location 14937 Old Country Club RdWinston Salem, NC 27104-5071 · Phone (336) 317-7410 · Fax (336) 718-4519

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Anthony Williams 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 ID2769845361

PECOS Enrollment IDI20230830001048

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Universal Health Corporation

86 mi

Internal Medicine

130 CHURCH AVE SW
Roanoke, VA 24011

Reassigned Medicare billing, North Carolina enrollment
80 clinicians in this Medicare group

NPI 1407117625 (540) 769-3964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.

158 services118 patients

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.

51 services43 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

33 services29 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

32 services32 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27406 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 9

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

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