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KALEY NICOLE WILLIFORD
NPI 1669228730
Physician Assistant in Charlotte, NC

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
10650 PARK RD, CHARLOTTE, NC 28210(384) 070-4667 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaley Nicole Williford NPPES

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

KALEY NICOLE WILLIFORD (NPI 1669228730) is an individual physician assistant in Charlotte, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669228730
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKALEY NICOLE WILLIFORD
Location Address10650 PARK RDCharlotte, NC 28210-8538
Mailing Address5814 Newell DrMonroe, NC 28112-6767 · (704) 794-8225
Phone(384) 070-4667
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 29, 2024
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1669228730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
10650 PARK RD, Charlotte, NC 28210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Kaley Nicole Williford 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 ID5496278574
PECOS Enrollment IDI20250329000128
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.

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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.

PULAK DILIPKUMAR PATEL
Family Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 302-8700
KATHRYN R. MARTIN NP
Nurse Practitioner
10650 PARK RD, STE 330
CHARLOTTE, NC 28210
Mecklenburg County (704) 468-8877
DR. WILLIAM E. BOBO M.D.
Radiology (Radiation Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 355-2736
JOLANTA JOZEFARA MD
Internal Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 302-8700
DR. STACEY ANN MAHADY D.O.
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 468-8857
RICHARD ALAN SHUGOLL MD
Internal Medicine (Cardiovascular Disease)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-3840
EKTA B. SHAH MD
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-3960
JANET ARRAZCAETA PHARMD
Pharmacist (Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (786) 218-7839

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 Kaley Williford's NPI number?

The NPI number for Kaley Williford is 1669228730. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Kaley Williford located?

Kaley Williford practices at 10650 Park Rd, Charlotte, NC 28210. The listed phone number is (384) 070-4667.

What is Kaley Williford's specialty?

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

Is Kaley Williford enrolled in Medicare?

Yes. Kaley Williford 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 Kaley Williford accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kaley Williford 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 Kaley Williford affiliated with any hospitals?

According to CMS data, Kaley Williford is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kaley Williford was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.