Individual provider Active NPI

Ahdaysia Williamson-McAllister, PA-C

  • Physician Assistant
  • North Bethesda, MD
National Provider Identifier
1083435044
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6000 Executive Blvd Ste 304
North Bethesda, MD 20852-3875
Phone
(301) 969-5673
Fax
(240) 448-7737
NPI assigned
Oct 22, 2024
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 304
North Bethesda, MD 20852-3875

Mailing address

402 Big Sam Cir
Loganville, GA 30052-8010
Phone (540) 841-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20250328001713 MD Practitioner - Physician Assistant 2567985799 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrihealth LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

349 E Pulaski Hwy
Unit C
Elkton, MD 21921
Phone (410) 941-3882

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1083435044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BIG SAM CIR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528010",
            "telephone_number": "540-841-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 304",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523875",
            "telephone_number": "301-969-5673",
            "fax_number": "240-448-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON-MCALLISTER",
        "first_name": "AHDAYSIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

Verify at the official NPI Registry.