Individual provider Active NPI

Anna H Williams, PA

  • Medical Physician Assistant
  • Sylvania, GA
National Provider Identifier
1083103782
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8763 Issued in GA
Practice address
213 Mims Rd
Sylvania, GA 30467-3234
Phone
(912) 303-7729
Fax
(912) 564-2174
NPI assigned
May 8, 2018
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8763 GA Primary

Addresses

Primary practice location

213 Mims Rd
Sylvania, GA 30467-3234

Mailing address

213 Mims Road
Sylvania, GA 30467-3234
Phone (912) 303-7729

Other practice location 1

117 Kite Rd
Swainsboro, GA 30401-3234
Phone (478) 289-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180716000907 GA Practitioner - Physician Assistant 2668729195 Reassigns benefits to 1 organization
I20250502002402 SC Practitioner - Physician Assistant 2668729195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

333 Revoluntionary Trail
Fairfax, SC 29827-7109

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8763GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Jun 1, 2021 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 2, 2025 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Mar 2, 2025 Accepting new patients
Screven County Family Health Center, LLC Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

213 Mims Rd
Sylvania, GA 30467
Phone (912) 303-7729

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1083103782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MIMS ROAD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304673234",
            "telephone_number": "912-303-7729",
            "fax_number": "912-564-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304673234",
            "telephone_number": "912-303-7729",
            "fax_number": "912-564-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 KITE RD",
            "address_purpose": "LOCATION",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013234",
            "country_code": "US",
            "telephone_number": "478-289-1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANNA",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

Verify at the official NPI Registry.