Theresa Williamson, PA
NPI 1417049420ActiveIndividual· Physician Assistant· Lumberton, NC
Physician Assistant (PA) in Lumberton, North Carolina, trained at Wake Forest University School of Medicine (class of 1991). Their prescriptions cost Medicare Part D more than their services did: $805,147 for 3,871 claims, against $8,312 paid for services in 2024.
Overview
| NPI | 1417049420 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Dec 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 101678 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 188 across 5 procedure codes |
| Paid by Medicare | $8,312 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,871 · 4,662 30-day fills |
|---|---|
| Patients | 169 |
| Total drug cost | $805,147 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Wake Forest University School of Medicine |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- MonarchAlbemarle, NC · 93 clinicians
Hospital affiliation
- Southeastern Regional Medical CenterLumberton, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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