CHARLES JERRY WILLIAMS III MD
NPI 1609260249
Pediatrics in Charlotte, NC
About Charles Jerry Williams Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES JERRY WILLIAMS III MD (NPI 1609260249) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2021-00756) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Jerry Williams Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charles Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norfolk, VA 23507
- Reassigned Medicare billing, Virginia enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Williams's NPI number?
The NPI number for Charles Williams is 1609260249. It was assigned to this individual provider in the NPPES registry on March 21, 2015.
Where is Charles Williams located?
Charles Williams practices at 1900 Scott Ave Ste 200, Charlotte, NC 28203. The listed phone number is (704) 381-0280.
What is Charles Williams's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Charles Williams enrolled in Medicare?
Yes. Charles Williams is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charles Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Williams reassigns Medicare benefits to Childrens Hospital Of The Kings Daughters Inc (Norfolk, VA). The 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 Charles Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Charles Williams was last updated on December 18, 2023. 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.
# Charles Jerry Williams III, MD · NPI 1609260249
Pediatrics physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 21, 2015.
## Identity
- **NPI:** 1609260249 (Entity type: Individual)
- **Enumerated:** March 21, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2021-00756 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 SCOTT AVE, STE 200, Charlotte, NC 28203-6046
- **Phone:** (704) 381-0280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Hospital Of The Kings Daughters Inc (NPI 1467641829, Norfolk, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609260249) · Data from the CMS NPPES public registry.