Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Rolando Williams, PA

Individual provider Physician Assistant · NPI 1053312082

Kevin Rolando Williams, PA is a Physician Assistant in Charlotte, North Carolina. Graduated from Wake Forest University School of Medicine in 1997, 29 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
29
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3030 Randolph Rd Ste 200
Charlotte, NC 28211-1368
Phone: (704) 512-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102449 (NC)

Record details

NPI number1053312082
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 1, 2005
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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