Dana Ray Williams, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110840307 Issued in VA

Practice address

2137 Lakeside Dr
Suite 100
Lynchburg, VA 24501-6806

Phone

(434) 845-4175

Fax

(434) 385-9616

NPI assigned

Feb 9, 2006

Last updated

Sep 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Central Virginia Family Physicians, Inc. Laboratory

  • Clinical Medical Laboratory
  • Lynchburg, VA
  • NPI 1083992523
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• BRMG-PC

  • Cardiovascular Disease Physician
  • Elkin, NC
  • NPI 1477985430
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1063485001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 LAKESIDE DR",
            "address_2": "SUITE 100",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016806",
            "telephone_number": "434-845-4175",
            "fax_number": "434-385-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 LAKESIDE DR",
            "address_2": "SUITE 100",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016806",
            "telephone_number": "434-845-4175",
            "fax_number": "434-385-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANA",
        "middle_name": "RAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101941",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063485001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00603322",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Klimavicz Willemann, MD
• William Carvajal DDS MD Inc (Central Virginia Oral and Facial Surgery)
• Barbara F Williams, F.N.P.
• Catherine Lynn Williams, FNP
• Chanel K Williams, RBT
• Edward Morgan Williams, MS, CGC
• Erin Bailey Williams, PHARMD
• Jamie Williams
• John Ed Williams, MD
• Julie Williams

• Medical Physician Assistant in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.