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Deactivated NPI 1225431547 Deactivated / Inactive NPI Male Practitioner

Charles Williams

Licensed Practical Nurse • Alton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2014
NPI Deactivation Date March 13, 2025
Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Charles Williams was a registered Licensed Practical Nurse practicing in Alton, IL. Throughout an active medical career spanning 11 years, Charles Williams provided care at the practice location at 2615 EDWARDS ST until profile deactivation on 2025-03-13.

Practice Location & Contact Primary Location

Practice Address

2615 Edwards St

Alton, IL 620023915

Telephone 6184622331
Fax 6184622504
Associated Practice Facility / Clinic
🏢 Centerstone Of Illinois, Inc Facility NPI 1659465789

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Alton, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043075851

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elissha Lenhardt

Counselor - Mental Health

NPI 1003219098
Jennifer Tapen

Counselor - Mental Health

NPI 1003219346
Emily Pembrook

Counselor - Mental Health

NPI 1003219478
NPI 1003494089
NPI 1003538901
Katie Holland

Counselor - Mental Health

NPI 1013310002

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2025

Record deactivated on March 13, 2025

NPI Profile Active September 30, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 30, 2014

Registered at 2615 EDWARDS ST, ALTON, IL 620023915 (Tel: 6184622331)

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Updated Business Mailing Address September 30, 2014

Registered at 2615 EDWARDS ST, ALTON, IL 620023915 (Tel: 6184622331)

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Provider Name / Credentials Updated September 30, 2014

Recorded as CHARLES WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2014

Licensed Practical Nurse (License #043075851 in IL)

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Initial NPI Registration & Enumeration September 30, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225431547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2014
Last Update: September 30, 2014
Deactivation Date: March 13, 2025

Mailing Address

2615 Edwards St

Alton, IL 620023915

Phone: 6184622331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.