Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Deandra Williams , PA

Physician Assistant β€’ Durham, NC

Active NPI 1881463602 Individual Practitioner Female Practitioner
Practice location in NPPES

2200 W Main Street, Ste 520- Office 5204
Durham, NC 277052542

Call 9196817255 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2200 W Main Street
Ste 520- Office 5204

Durham, NC 277052542

Telephone 9196817255
Fax 9196818856

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Deandra Williams has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Deandra Williams as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Durham and North Carolina

512 active clinicians are listed under Physician Assistant with a practice address in Durham, NC (9,288 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Durham

21.7% of these 512 clinicians have the CMS telehealth indicator.

58% of these 512 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NC 0010-14775

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241205004270

Enrollment State Jurisdiction

NC

PECOS Control ID

8820524440

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1215228036

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 31, 2024

Registered at 2200 W MAIN STREET, STE 520- OFFICE 5204, DURHAM, NC 277052542 (Tel: 9196817255)

πŸ“
Updated Business Mailing Address October 31, 2024

Registered at 2200 W MAIN STREET, STE 520- OFFICE 5204, DURHAM, NC 277052542 (Tel: 9196817255)

πŸ‘€
Provider Name / Credentials Updated October 31, 2024

Recorded as DEANDRA WILLIAMS, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2024

Physician Assistant (license number reported to NPPES: NC 0010-14775)

βœ…
NPI Profile Active December 20, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 20, 2023

Registered at 825 FAIRFAX AVE, NORFOLK, VA 235071912 (Tel: 7574465600)

πŸ“
Business Mailing Address (Initial Record) December 20, 2023

Registered at 825 FAIRFAX AVE, NORFOLK, VA 235071912 (Tel: 7574465600)

πŸ‘€
Provider Name / Credentials (Initial Record) December 20, 2023

Recorded as DEANDRA WILLIAMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 20, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1881463602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2023
Last Update: October 31, 2024
Sole Proprietor: Yes

Other Physician Assistants in Durham

All Physician Assistants in Durham

Mailing Address

2200 W Main Street, Ste 520- Office 5204

Durham, NC 277052542

Phone: 9196817255

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.