DEREK A. WILLIAMS DO – NPI #1568577633
Internal Medicine

A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

Health Care Provider Taxonomy Code for Internal Medicine

DEREK WILLIAMS is a physician located in CHARLOTTE, NC. NPPES has assigned the NPI number 1568577633 to DEREK WILLIAMS on August 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0002X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Adult Congenital Heart Disease

The NPI profile was last updated on Jul 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEREK WILLIAMS below.

NPI Profile for
DEREK A. WILLIAMS

NPI Number
1568577633
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEREK A. WILLIAMS
Credentials
DO
Primary location
1001 BLYTHE BLVD
STE 500
CHARLOTTE, NC 28203-5866
Phone: (704) 373-1813 Fax:
2 Other location(s):
100 Medical Park Dr
Ste 310
Concord, NC 28025-2948
Phone: (704) 403-2860
1781 Tate Blvd SE
Ste 203
Hickory, NC 28602-4251
Phone: (704) 381-3970
Mailing address
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for DEREK WILLIAMS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA7318722
OTHERBCBS143EK
OTHERMEDCOST191438
OTHERMEDICARE2403409
OTHERPARTNERS808446
MEDICAIDNC5904911
MEDICAIDSCQ0098E
MEDICAIDVA10401984
MEDICAIDWV3810007094
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0002X
- Internal Medicine / Adult Congenital Heart Disease (Primary)		 NC 2006-01306
2080P0202X
- Pediatrics / Pediatric Cardiology		 NC 2006-01306
208000000X
- Pediatrics		 NC 2006-01306

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1001 BLYTHE BLVD,
CHARLOTTE, NC 77025-1669

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEREK WILLIAMS is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTH CAROLINA BAPTIST HOSPITAL
      MEDICAL CENTER BOULEVARD
      WINSTON-SALEM, NC 27157

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.