CLIFTON WILLIAMS PA-C
NPI 1285705152
Physician Assistant - Medical in Saint Pauls, NC

NPI Status: Active since November 13, 2006

Contact Information

128 E BROAD ST
SAINT PAULS, NC
ZIP 28384
Phone: (910) 241-3042
Fax: (910) 241-3462

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About CLIFTON WILLIAMS

This page provides the complete NPI Profile along with additional information for Clifton Williams, a primary care provider established in Saint Pauls, North Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1285705152 assigned on November 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 102538 (NC). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1285705152
Provider Name
CLIFTON WILLIAMS PA-C
Gender
Male
Entity Type
Individual
Location Address
128 E BROAD ST SAINT PAULS, NC 28384
Location Phone
(910) 241-3042
Location Fax
(910) 241-3462
Mailing Address
60 COMMERCE PLAZA CIR PEMBROKE, NC 28372
Mailing Phone
(910) 521-2900
Is Sole Proprietor?
No
Enumeration Date
11-13-2006
Last Update Date
02-26-2024
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A primary care provider (PCP) like Clifton Williams 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 .

Location Map

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
102538
License State
NC

Medicare Participation & PECOS Enrollment Status

Clifton Williams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Reviews for CLIFTON WILLIAMS PA-C

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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.
1285705152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216514010110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 0 + 1 + 0 + 1 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1285705152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710979430SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Clinic/Center (Rural Health)128 E BROAD ST
SAINT PAULS, NC 28384
(910) 865-5955
1346350683DR. KARL JAMES MOO YOUNG D.O.
Individual
Internal Medicine128 E BROAD ST
SAINT PAULS, NC 28384
(910) 865-5955
1750518692SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Organization
Clinic/Center128 E BROAD ST
SAINT PAULS, NC 28384
(910) 865-5955
1386973212SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Organization
Clinic/Center (Rural Health)128 E BROAD ST
SAINT PAULS, NC 28384
(910) 865-5955
1518525526ROBESON HEALTH CARE CORPORATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))128 E BROAD ST
SAINT PAULS, NC 28384
(910) 241-3042
1235696261MRS. SANTANA NICOLE AMMONS FNP
Individual
Nurse Practitioner (Family)128 E BROAD ST
SAINT PAULS, NC 28384
(910) 241-3042
1568971026 BRANDON JAMES FORDHAM PA-C
Individual
Physician Assistant128 E BROAD ST
SAINT PAULS, NC 28384
(910) 241-3042
1801064860MS. VIVIAN DEVONE SMITH MSW LCASA
Individual
Social Worker (Clinical)128 E BROAD ST
SAINT PAULS, NC 28384
(910) 241-3042
1144820986 RACHEL SUTTON LCSWA
Individual
Social Worker (Clinical)128 E BROAD ST
SAINT PAULS, NC 28384
(910) 241-3042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285705152, enumerated in the NPI registry as an "individual" on November 13, 2006

The provider is located at 128 E Broad St Saint Pauls, Nc 28384 and the phone number is (910) 241-3042

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

This NPI record was last updated on November 13, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.