Kelly Taylor Williamson, FNP - Medicare Nurse Practitioner in Fort Mill, SC

Kelly Taylor Williamson, FNP is a medicare enrolled "Nurse Practitioner" in Fort Mill, South Carolina. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is 704 Gold Hill Rd, Fort Mill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 835-0420.

Kelly Taylor Williamson is licensed to practice in South Carolina (license number 18196) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134461171.

Contact Information

Kelly Taylor Williamson, FNP
704 Gold Hill Rd,
Fort Mill, SC 29715-8906
(803) 835-0420
Not Available



Provider's Profile

Full NameKelly Taylor Williamson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location704 Gold Hill Rd, Fort Mill, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Taylor Williamson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1134461171
  • Provider Enumeration Date: 03/17/2013
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143464180
  • Enrollment ID: I20130913000176

Medical Identifiers

Medical identifiers for Kelly Taylor Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134461171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 18196 (South Carolina)Secondary
363L00000XNurse Practitioner 18196 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Carolinas Medical Center-pinevilleCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551613

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Taylor Williamson allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962858662
PECOS PAC ID: 3375449655
Enrollment ID: O20031209000106

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Taylor Williamson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Taylor Williamson, FNP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Kelly Taylor Williamson, FNP
704 Gold Hill Rd,
Fort Mill, SC 29715-8906

Ph: (803) 835-0420

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Nurse Practitioner Nurses in Fort Mill, SC

Kayla Kipp Mosser, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 704 Gold Hill Rd Ste 207, Fort Mill, SC 29715
Phone: 803-802-5900    
Karen Mcgarvey, F.N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1740 Sc 160 West, Fort Mill, SC 29708
Phone: 866-389-2727    
Chinelo Ofoma, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715
Phone: 803-802-5900    Fax: 803-802-7101
Meghan Bynum Fields, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715
Phone: 704-667-3380    
Brett Alexandra Wnuk, MSN, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 852 Gold Hill Rd Ste 204, Fort Mill, SC 29708
Phone: 803-228-4038    Fax: 866-884-5371
Mrs. Lindsey Nicole Bauman, CPNP-PC, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1171 Market St Ste 201, Fort Mill, SC 29708
Phone: 419-297-3657    

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