Individual provider Active NPI

Allanda Williams, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1134780448
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021777 Issued in PA
Practice address
2131 N Broad St
Philadelphia, PA 19122-1105
Phone
(215) 623-2012
Fax
(888) 355-6945
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS021777 PA Primary
Family Medicine Physician 207Q00000X 25MB11503500 NJ

Addresses

Primary practice location

2131 N Broad St
Philadelphia, PA 19122-1105

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

19 W Main St Ste C
Maple Shade, NJ 08052-2411
Phone (856) 779-7386

Other identifiers 1

IdentifierTypeStateIssuer
0855081MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address awilliams226552@directvirtua.org
Direct Messaging Address awilliams226552@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220819002662 NJ Practitioner - Family Practice 2567790074 Reassigns benefits to 1 organization
I20260628000172 PA Practitioner - Family Practice 2567790074

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Woodmont Blvd
Suite 600
Nashville, TN 37205-5250

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT019572PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Sep 1, 2022 Accepting new patients
Virtua Medical Group, PA Family Medicine Current Accepting new patients
Archwell Health Professional Services of Pennsylvania, PC Family Medicine CurrentSince Jul 1, 2026 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

19 W Main St
Ste C
Maple Shade, NJ 08052
Phone (856) 779-7386

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

2131 N Broad St
Philadelphia, PA 19122
Phone (215) 236-2297

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1134780448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221105",
            "telephone_number": "215-623-2012",
            "fax_number": "888-355-6945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Maple Shade",
            "state": "NJ",
            "postal_code": "080522411",
            "country_code": "US",
            "telephone_number": "856-779-7386",
            "fax_number": "856-779-7563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALLANDA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021777",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11503500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855081",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilliams226552@directvirtua.org",
            "affiliation": "N",
            "address_1": "Mainline Shopping Center",
            "address_2": "1404-1406 Route 130 North",
            "city": "Cinnaminson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilliams226552@directvirtua.org",
            "affiliation": "N",
            "address_1": "19 W Main St Ste C",
            "city": "Maple Shade",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080522411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.