Kevin R Williams (NPI# 1053312082, PAC ID# 4587756671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053312082 |
| PAC ID by PECOS | 4587756671 |
| Professional Enrollment ID | I20070822000289 |
| Full Name | Kevin R Williams |
| Organization Legal Name | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| Address |
3030 Randolph Rd Suite 200 Charlotte NC 28211-1365 |
| Phone Number | 7045125000 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4880682160 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 | 7045125000 | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| Organization Legal Name | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly N Montgomery | Nurse Practitioner | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Ashley L Phillips | Physician Assistant | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Beth S Tarkington | Family Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Youssef Siage | Internal Medicine | Randolph Internal Medicine Associates | 330 Billingsley Rd, Suite 100, Charlotte, NC 28211-3096 |
| Adrian D Hurst | Internal Medicine | Randolph Internal Medicine Associates | 330 Billingsley Rd, Suite 100, Charlotte, NC 28211-3096 |
| Murray Baxter Craven Iii | Internal Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Gregory V Collins | Internal Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| William S Tucker Jr. | Internal Medicine | Randolph Internal Medicine Associates | 330 Billingsley Rd, Charlotte, NC 28211-3096 |
| Street Address |
3030 RANDOLPH RD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28211-1365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly N Montgomery | Nurse Practitioner | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Ashley L Phillips | Physician Assistant | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Sonya G Rissmiller | Physical Medicine and Rehabilitation | Carolinas Physicians Network Inc | 3030 Randolph Rd, Charlotte, NC 28211-1365 |
| Beth S Tarkington | Family Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Puneet Kumar Aggarwal | Physical Medicine and Rehabilitation | Carolinas Physicians Network Inc | 3030 Randolph Rd, Charlotte, NC 28211-1365 |
| Kelsey E Pheifer | Registered Dietitian Or Nutrition Professional | Carolinas Physicians Network Inc | 3030 Randolph Rd, Charlotte, NC 28211-1365 |
| Ankur Mansukhlal Manvar | Anesthesiology | American Anesthesiology of North Carolina Pllc | 3030 Randolph Rd, Suite 100, Charlotte, NC 28211-1365 |
| Murray Baxter Craven Iii | Internal Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Gregory V Collins | Internal Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Robert L Jones Jr. | Family Medicine | Carolinas Physicians Network Inc | 3030 Randolph Rd, Charlotte, NC 28211-1365 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camilla Bird | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Kelli Martia Keys | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Meg Shannon Sullivan | Family Medicine | 249 Billingsley Rd, Charlotte, NC 28211-1003 | |
| Lena K White | Family Practice | Mecklenburg County | 249 Billingsley Rd, Charlotte, NC 28211-1003 |
| Jeanmarie M Roberts | Nurse Practitioner | Anuvia Prevention and Recovery, Center, Inc | 429 Billingsley Rd, Charlotte, NC 28211-1007 |
| Hristos C Karanikas | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Amanda H Goodwin | Clinical Social Worker | Carolinas Medical Center | 501 Billingsley Rd B, Charlotte, NC 28211-1009 |
| Rodney A Villanueva | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd A, Charlotte, NC 28211-1009 |
| Walter Carlton Gay Iii | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Rebecca Devonne Silver | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Find all physicians in zip 28211 | |||
| City | CHARLOTTE |
| Zip Code | 28211 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLOTTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kevin R Williams.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.