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DEREK ADAM WILLIAMS DO
NPI 1568577633
Internal Medicine - Adult Congenital Heart Disease in Charlotte, NC

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, STE 500, CHARLOTTE, NC 28203(704) 373-1813 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derek Adam Williams Do NPPES

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

DEREK ADAM WILLIAMS DO (NPI 1568577633) is an individual adult congenital heart disease provider in Charlotte, North Carolina, licensed in North Carolina (2006-01306) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568577633
Entity TypeIndividualMale
Primary Taxonomy207RA0002X
Provider Legal NameDEREK ADAM WILLIAMSCredential: DO
Location Address1001 BLYTHE BLVD, STE 500Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 373-1813
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1999
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 15, 2024
✔ NPI 1568577633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RA0002X
License✔ Licensed in NC · 2006-01306
Definition
A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
Also ListedPediatricsTaxonomy 208000000X · License 2006-01306 (NC)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 2006-01306 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11781 Tate Blvd SE, Ste 203Hickory, NC 28602-4251 · Phone (704) 381-3970
Location 2100 Medical Park Dr, Ste 310Concord, NC 28025-2948 · Phone (704) 403-2860

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Derek Adam Williams Do 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 ID5799717542
PECOS Enrollment IDI20070205000365
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 Reassignments

2

Medicare enrollment records show Derek Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network, Inc.
0.1 mi
Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1215289665 (704) 512-2999
Wake Forest University Health Sciences
56 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255

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

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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

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.

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

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 Derek Williams's NPI number?

The NPI number for Derek Williams is 1568577633. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Derek Williams located?

Derek Williams practices at 1001 Blythe Blvd Ste 500, Charlotte, NC 28203. The listed phone number is (704) 373-1813.

What is Derek Williams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Is Derek Williams enrolled in Medicare?

Yes. Derek Williams 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.

Which organizations bill Medicare for Derek Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Williams reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network, Inc. (Charlotte, NC) and Wake Forest University Health Sciences (Lexington, NC). 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 Derek Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Williams accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list Derek 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.

Is Derek Williams affiliated with any hospitals?

According to CMS data, Derek Williams is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Derek Williams was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.