JEROME E WILLIAMS JR. MD
NPI 1730187063
Internal Medicine - Cardiovascular Disease in Charlotte, NC

Q: What is Jerome Williams's NPI number?

The NPI number for Jerome Williams is 1730187063. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Jerome Williams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Williams was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 11, 2005PECOS Enrolled

1718 E 4TH ST, STE 501, CHARLOTTE, NC 28204(704) 343-9800(704) 347-2011 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 11, 2021, Oct 25, 2020 (2 updates tracked since 2020).

On this page

About Jerome E Williams Jr. Md NPPES

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

JEROME E WILLIAMS JR. MD (NPI 1730187063) is an individual cardiovascular disease provider in Charlotte, North Carolina, licensed in North Dakota (9600778) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730187063

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJEROME E WILLIAMS JR.Credential: MD

Location Address1718 E 4TH ST, STE 501Charlotte, NC 28204-3260

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 343-9800 · Fax (704) 347-2011

Phone(704) 343-9800

Fax(704) 347-2011

Sole ProprietorNo

Enumeration DateJuly 11, 2005

Last NPPES UpdateJune 11, 20212 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1730187063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in ND · 9600778

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9600778 (NC)

1718 E 4TH ST, Charlotte, NC 28204

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Other Identifiers 2

Medicaid8987789NC

MedicaidN00778SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerome E Williams Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Novant Medical Group, Inc

Same address

Medical Oncology

1718 E 4TH ST STE 105
Charlotte, NC 28204

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Novant Health Medical Group, LLC
2,998 clinicians in this Medicare group

NPI 1295089936 (704) 384-5373

Novant Health Mint Hill Medical Center, LLC

10 mi

Nurse Anesthetist, Certified Registered

8201 HEALTHCARE LOOP
Charlotte, NC 28215

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

NPI 1063910404 (980) 302-1000

Novant Health Rowan Medical Center LLC

38 mi

Neurology

612 MOCKSVILLE AVE.
Salisbury, NC 28144

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

NPI 1508931544 (704) 210-5000

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 28204 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

79%179 patients4/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

95%20 patients

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

57%265 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

32%301 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

52%107 patients3/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

1%130 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204

Mecklenburg County (704) 598-7320

DR. PHILIP WILLIAM DE HOFF M. D.

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204

Mecklenburg County (704) 372-4000

STEPHANIE DAWN RITCHIE PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204

Mecklenburg County (704) 316-5100

NOVANT MEDICAL GROUP

Internal Medicine (Infectious Disease)

1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-7840

JESSICA PUSKARICH NP

Nurse Practitioner

1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204

Mecklenburg County (704) 333-1259

KAO NU LY PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204

Mecklenburg County (704) 376-5636

ROBERT BRIAN FAZIA MD

Internal Medicine (Cardiovascular Disease)

1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204

Mecklenburg County (704) 343-9800

NOVANT HEALTH MEDICAL GROUP, LLC

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-0560

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 Jerome Williams's NPI number?

The NPI number for Jerome Williams is 1730187063. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Jerome Williams located?

Jerome Williams practices at 1718 E 4th St Ste 501, Charlotte, NC 28204. The listed phone number is (704) 343-9800.

What is Jerome Williams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jerome Williams enrolled in Medicare?

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

Which organizations bill Medicare for Jerome Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Williams reassigns Medicare benefits to 3 organizations: Novant Medical Group, Inc (Charlotte, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC) and Novant Health Rowan Medical Center LLC (Salisbury, 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 Jerome 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 Jerome Williams was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.