Mary Elizabeth Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00519400 Issued in NJ

Practice address

8260 Atlee Rd
Mechanicsville, VA 23116-1844

Phone

(804) 569-7007

Fax

(804) 764-6562

NPI assigned

May 28, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NJ2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dispatch Health Medical PC

  • Emergency Medicine Physician
  • Upper Saddle River, NJ
  • NPI 1447716873
  Medicare reassignment
• Dispatchhealth Massachusetts PC

  • Emergency Medicine Physician
  • Auburn, MA
  • NPI 1629555842
  Medicare reassignment
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070
  NPD
• True North Health Navigation LLC

  dba Dispatch Health

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD
• Virginia Emergency Associates Inc

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1639170558
  NPD (past)
• Excella Home Health Agency, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Ludlow, MA
  • NPI 1356642110
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1053546408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 HANOVER RD",
            "city": "ROCKVILLE",
            "state": "VA",
            "postal_code": "231462007",
            "telephone_number": "804-749-8967",
            "fax_number": "804-749-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-569-7007",
            "fax_number": "804-764-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Glen Forest Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263768",
            "country_code": "US",
            "telephone_number": "804-495-0053",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Park Ave",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010893337",
            "country_code": "US",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6937",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00519400",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Louise Williams, LMT
• Brittany Williams
• Carol Williams, M.D.
• Chareece Williams, FNP-BC
• Linda D Williams, MSN, APRN, PMHNP-BC
• Meggan Williams, CCC-SLP
• Stephanie Marie Williams
• Wendy W. Williams, CCC-SLP
• Dana C Williamson, D.C.
• Williamsville Wellness, LLC

• Physician Assistant in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.