ADELLE ANTHONY-WILLIAMS MD PLLC
NPI 1104600923
Family Medicine - Adult Medicine in Salisbury, NC

NPI Status: Active since August 22, 2023

Contact Information

1933 JAKE ALEXANDER BLVD W STE 103
SALISBURY, NC
ZIP 28147
Phone: (704) 604-0377
Fax: (800) 697-5650

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  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 34D2290052
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-19-2025

About ADELLE ANTHONY-WILLIAMS MD PLLC

This page provides the complete NPI Profile along with additional information for Adelle Anthony-williams Md Pllc, a primary care provider established in Salisbury, North Carolina operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1104600923 assigned on August 2023. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated one year ago. Adelle Anthony-williams Md Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Adelle Anthony-williams Md Pllc. The authorized official of this NPI record is Adelle R Anthony-williams Md (Owner, Authorized Official)

NPI
1104600923
Provider Legal Name
ADELLE ANTHONY-WILLIAMS MD PLLC
Other Organization Name
ADELLE ANTHONY-WILLIAMS MD PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1933 JAKE ALEXANDER BLVD W STE 103 SALISBURY, NC 28147
Location Phone
(704) 604-0377
Location Fax
(800) 697-5650
Mailing Address
1933 JAKE ALEXANDER BLVD W STE 103 SALISBURY, NC 28147
Mailing Phone
(704) 604-0377
Mailing Fax
(800) 697-5650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2023
Last Update Date
06-10-2024
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A primary care provider (PCP) like Adelle Anthony-williams Md Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADELLE R ANTHONY-WILLIAMS MD

Authorized Official Title
OWNER, AUTHORIZED OFFICIAL
Authorized Official Phone
(704) 604-0377

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2290052
Facility Type
Physician Office
Certificate Effective Date
September 20, 2023
Certificate Expiration Date
September 19, 2025
Laboratory Director
DR. ADELLE ANTHONY-WILLIAMS MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Adelle Anthony-williams Md Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104600923
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104120094
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 2 + 0 + 0 + 9 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1104600923 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669263703GOLDEN YEARS LLC
Organization
Home Health Aide1933 JAKE ALEXANDER BLVD W STE 103
SALISBURY, NC 28147
(980) 866-3188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104600923, enumerated in the NPI registry as an "organization" on August 22, 2023

The provider is located at 1933 Jake Alexander Blvd W Ste 103 Salisbury, Nc 28147 and the phone number is (704) 604-0377

This medical organization specializes in Family Medicine with taxonomy code 207QA0505X with a focus in Adult Medicine

The provider's CLIA number is 34D2290052 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 22, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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